J EDWARD DAGEN MD PC (NPI# 1174746952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174746952 |
| Entity Type | Organization |
| Organization Name | J EDWARD DAGEN MD PC |
| Practice Address |
9 Brookwood Ave Carlisle PA 17013-9126 |
| Practice Telephone | 7172450131 |
| Practice Fax Number | 7172459611 |
| Mailing Telephone | 7172450131 |
| Mailing Fax Number | 7172459611 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. J EDWARD DAGEN (PRESIDENT) |
| Authorized Official Telephone | 7172450131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD017601E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 03250401 | 01 |
| PA | 0007397920002 | 05 | |
| PA | AETNA | 527353 | 01 |
| PA | CIGNA | 9390390 | 01 |
| PA | BLUE SHIELD | 095786 | 01 |
| Street Address |
9 BROOKWOOD AVE |
| City | CARLISLE |
| State | PA |
| Zip Code | 17013-9126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376598508 | Richard Edward Ferraro | Otolaryngology | 9 Brookwood Ave, Carlisle, PA 17015-9126 | 2006-05-24 |
| 1104339779 | Melanie Renee Gillman | Otolaryngology | 9 Brookwood Ave, Carlisle, PA 17015-9126 | 2017-11-06 |
| 1467578732 | Watershed Urology, P.C. | Urology | 9 Brookwood Ave, Carlisle, PA 17015-9126 | 2007-03-21 |
| 1174631733 | Carlisle Ear Nose & Throat Associates | Otolaryngology | 9 Brookwood Ave, Carlisle, PA 17015-9126 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831151323 | Andrew Michael Dussinger | Urology | 366 Alexander Spring Rd Ste 4, Carlisle, PA 17015-9214 | 2006-04-03 |
| 1376063511 | Pinnacle Health Regional Physicians | Urology | 366 Alexander Spring Rd Ste 4, Carlisle, PA 17015-9214 | 2017-06-20 |
| 1467578732 | Watershed Urology, P.C. | Urology | 9 Brookwood Ave, Carlisle, PA 17015-9126 | 2007-03-21 |
| 1912002015 | Lancaster Hma Physician Management Inc. | Urology | 19 Sprint Dr, Carlisle, PA 17013-7696 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 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.