DR. MARK LINDSAY HAGY (NPI# 1235171406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235171406 |
Entity Type | Individual |
Full Name | DR. MARK LINDSAY HAGY |
Credential | M.D. |
Practice Address |
101 Knotbreak Road Salem VA 24153-7304 |
Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
Practice Telephone | 5404444020 |
Practice Fax Number | 5404444021 |
Mailing Telephone | 5403453556 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-08-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0101238696 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 185348 | 01 |
VA | CIGNA | 8150571 | 01 |
VA | MAMSI | 2140840 | 01 |
VA | AETNA | 7849752 | 01 |
VA | ADMINISTAR FEDERAL | 393326001 | 01 |
VA | UNITED HEALTHCARE | 542006922 | 01 |
VA | SOUTHERN HEALTH | 332136 | 01 |
VA | 010200601 | 05 |
Street Address |
101 KNOTBREAK ROAD |
City | SALEM |
State | VA |
Zip Code | 24153-7304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740228329 | Robert Michael Wilson | Physician Assistant | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-03 |
1437188554 | Virgnia Orthopaedics PC | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-07-01 |
1447292511 | Preston Adam Waldrop | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
Find all providers in zip 24153 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922195858 | John Donald Duerden | Orthopaedic Surgery | 501 Discovery Dr, Chesapeake, VA 23320-3843 | 2006-10-10 |
1396031142 | Oliver Nikolaas Schipper | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2011-06-21 |
1902063092 | Kevin Charles Lutta | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 | 2008-05-17 |
1063556603 | Venkat Perumal | Orthopaedic Surgery | 545 Ray C Hunt Dr, Ste 310, Charlottesville, VA 22903-2981 | 2007-02-16 |
1114084407 | Minton Truitt Cooper | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Medical Office Bldg 2, Charlottesville, VA 22903-0001 | 2007-01-03 |
1245310614 | Steven K Neufeld | Orthopaedic Surgery | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2006-10-17 |
1144242298 | Michael Andrew Caines | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2006-07-24 |
1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
1871536235 | Mark Mcclellan Jones | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2006-06-14 |
1912948209 | John David Bowman | Orthopaedic Surgery | 8266 Atlee Rd, Suite 133, Mechanicsville, VA 23116-1804 | 2006-06-09 |
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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.