DR. JON HAGENBURG (NPI# 1114064433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114064433 |
| Entity Type | Individual |
| Full Name | DR. JON HAGENBURG |
| Credential | DA |
| Practice Address |
45 Eagle St Bldg J, Unit 100 Providence RI 02909-1011 |
| Practice Telephone | 4013232998 |
| Mailing Telephone | 4013232998 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | DA00279 | RI | Other Service Providers |
| Street Address |
45 EAGLE ST BLDG J, UNIT 100 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114152865 | University Chiropractic | Chiropractor | 45 Eagle St, Providence, RI 02909-1082 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342374 | Laura Wolf Schatz | Acupuncturist | 163 Camp St Apt 2, Providence, RI 02906-1891 | 2020-10-03 |
| 1962016279 | Andrew Cumming Payne | Acupuncturist | 37 Willow St, Providence, RI 02909-1714 | 2020-09-03 |
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1407349376 | Amanda Heather Robinson | Acupuncturist | 208 Governor St Fl 1, Providence, RI 02906-3246 | 2018-06-14 |
| 1740792910 | Linnea Snyder | Acupuncturist | 120 Dudley St Ste 103, Providence, RI 02905-2431 | 2017-10-28 |
| 1114294386 | Sonja Jean Marge-barrows | Acupuncturist | 14 Imperial Pl, 202d, Providence, RI 02903-4638 | 2011-11-16 |
| 1164752523 | Stephanie Carolle Fischer | Acupuncturist | 148 Waterman Street, Providence, RI 02906 | 2010-01-07 |
| 1609001585 | Providence Integrative Wellness | Acupuncturist | 182 Gano St, Providence, RI 02906 | 2009-05-21 |
| 1750551198 | Mary Claire Dilks | Acupuncturist | 14 Imperial Pl # 202d, Providence, RI 02903-4638 | 2008-02-29 |
| 1548391824 | Tadeusz Adam Sztykowski | Acupuncturist | 191 Nashua St, Providence, RI 02904-1871 | 2007-03-08 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on DR. JON HAGENBURG.
| 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.