DR. LARRY LYNN HAGAN (NPI# 1053350751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053350751 |
| Entity Type | Individual |
| Full Name | DR. LARRY LYNN HAGAN |
| Credential | MD |
| Practice Address |
1001 20th St Huntington WV 25703-2019 |
| Practice Telephone | 3045296100 |
| Practice Fax Number | 3045290229 |
| Mailing Telephone | 3045296100 |
| Mailing Fax Number | 3045290229 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
22558 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810007713 | 05 | |
| OH | L2725779 | 05 | |
| WV | 0011693000 | 05 |
| Street Address |
1001 20TH ST |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184734758 | Joan A Lynch | Allergy & Immunology | 1001 20th St, Huntington, WV 25703-2019 | 2006-08-30 |
| 1891726295 | Matthew C Wilson | Allergy & Immunology | 1001 20th St, Huntington, WV 25703 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| Find all providers in zip 25703 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1346568862 | Advanced Allergy and Asthma Care,pllc | Allergy & Immunology | 158 E Main St, Huntington, NY 11743-2988 | 2010-05-07 |
| 1649382532 | North Shore Medical Group of The Mount Sinai School of Medicine | Allergy & Immunology | 241 E Main St, Huntington, NY 11743-2924 | 2006-08-31 |
| 1184734758 | Joan A Lynch | Allergy & Immunology | 1001 20th St, Huntington, WV 25703-2019 | 2006-08-30 |
| 1891726295 | Matthew C Wilson | Allergy & Immunology | 1001 20th St, Huntington, WV 25703 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649312083 | Tri- State Allergy, Inc | Allergy & Immunology | 3752 Teays Valley Rd Ste 3, Hurricane, WV 25526-9705 | 2007-02-13 |
| 1447624093 | Nasim Sheikh | Allergy & Immunology | 4502 Maccorkle Ave Sw, South Charleston, WV 25309-1409 | 2015-11-19 |
| City | HUNTINGTON |
| Zip Code | 25703 |
Please comment or provide details below to improve the information on DR. LARRY LYNN HAGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.