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LARRY DAVID HAGAMAN PA-C NPI 1578725834


NPI Information

NPI: 1578725834
Provider Name: LARRY DAVID HAGAMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: FLORIDA ORTHOPAEDIC INSTITUTE

PECOS Registration: Yes

Address:
721 W ROBERTSON ST
STE 102
BRANDON, FL
ZIP 33511
Phone: (813) 684-3707
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Larry David Hagaman, PA-C is a medical physician assistant in Brandon, FL with 41 years of experience. Larry David Hagaman, PA-C NPI is 1578725834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

721 W ROBERTSON ST
STE 102
BRANDON, FL
ZIP 33511-934
Phone: (813) 684-3707
Fax: (813) 643-2457

The NPI 1578725834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Repair of knee joint (HCPCS:27447)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA0003049FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E0471MEDICARE PINFLORIDA
2S52409MEDICARE UPINFLORIDA
30415840001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.