ANDREW HAGENAUER (NPI# 1063894590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063894590 |
| Entity Type | Individual |
| Full Name | ANDREW HAGENAUER |
| Credential | D.O |
| Practice Address |
10110 Clemson Blvd Seneca SC 29678-0812 |
| Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
| Practice Telephone | 8644823148 |
| Practice Fax Number | 8644820505 |
| Mailing Telephone | 8645228614 |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | LL37689 | SC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
37689 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
10110 CLEMSON BLVD |
| City | SENECA |
| State | SC |
| Zip Code | 29678-0812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851363733 | Andrea L Allyn | Internal Medicine | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2006-02-03 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| 1053797381 | Elizabeth Ann Cornine | Nurse Practitioner | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2015-08-10 |
| 1891104295 | Ghs Partners In Health, Inc. | Internal Medicine | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2014-08-11 |
| 1942631585 | Krishna Manhar Patel | Nurse Practitioner | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2013-12-09 |
| 1083956650 | Zara Colon | Physician Assistant | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2013-03-21 |
| 1053632836 | Kevin Richard Saunders | Family Medicine | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503425 | Douglas Allen Reeves Jr. | Family Medicine | 10630 Clemson Blvd, Ste 100, Seneca, SC 29678-4546 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513199 | Pain Treatment Centers LLC | Family Medicine | 505 W Palmetto St, Florence, SC 29501-4427 | 2018-03-29 |
| 1821512302 | Arcis Healthcare, LLC | Family Medicine | 1951 Clements Ferry Rd Ste 100, Charleston, SC 29492-7724 | 2017-07-27 |
| 1225331119 | Mona Med Group Inc | Family Medicine | 8484 Dorchester Rd, Charleston, SC 29420-7319 | 2010-12-14 |
| 1376742411 | Jeffrey P Holloway | Family Medicine | 9 Medical Park, Suite 200-a, Columbia, SC 29203-6878 | 2007-07-17 |
| 1629138698 | Andrew William Torrance | Family Medicine | 211 High Gate Loop, Aiken, SC 29803-3921 | 2006-12-11 |
| 1508876434 | Andrew Thomas Mcgown | Family Medicine | 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | 2006-08-09 |
| 1619945615 | Brian N. Anderson | Family Medicine | 81 Main Street, Hilton Head, SC 29926 | 2006-03-08 |
| 1629041009 | Mcleod Physician Associates II | Family Medicine | 2437 Willwood Dr, Florence, SC 29501-3904 | 2006-02-08 |
| 1821089434 | Hilton Head Sports Medicine | Family Medicine | 22 Bethea Dr, Hilton Head Island, SC 29926-4702 | 2005-11-02 |
| 1104812874 | David M. Jenkinson | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2005-09-27 |
| Find all providers with the same taxonomy | ||||
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| 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.