MATTHEW HAGEN (NPI# 1295231017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295231017 |
| Entity Type | Individual |
| Full Name | MATTHEW HAGEN |
| Credential | DO |
| Practice Address |
Sammc Im Residency, 3551 Roger Brooke Dr. Jbsa-fort Sam Houston San Antonio TX 78234-4504 |
| Practice Telephone | 2102925077 |
| Practice Fax Number | 2102927868 |
| Mailing Telephone | 2102925077 |
| Mailing Fax Number | 2102927868 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0102205848 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447411251 | Matthew Carlisle Hagen | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2008-06-24 |
| Street Address |
SAMMC IM RESIDENCY, 3551 ROGER BROOKE DR. JBSA-FORT SAM HOUSTON |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600778 | Cano Health Texas Pllc | General Practice | 7031 Marbach Rd, San Antonio, TX 78227-1911 | 2020-05-13 |
| 1962056762 | Medexpress Primary Care Texas, P.a. | General Practice | 6200 Northwest Pkwy, San Antonio, TX 78249-3348 | 2019-07-30 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| 1881197945 | Caitlin Leigh Castle | General Practice | Uthscsa Dept. of Psychiatry, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-15 |
| 1710480025 | Patrick Richard Notini | General Practice | 7703 Floyd Curl Dr, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-13 |
| 1316477821 | San Antonio Weightloss LLC | General Practice | 11212 State Highway 151 Ste 210, San Antonio, TX 78251-4501 | 2017-06-16 |
| 1336675396 | Morgan S Hardy | General Practice | 7703 Floyd Curl Dr. Rm 717.f4, Department of Psychiatry, San Antonio, TX 78229-3900 | 2017-05-11 |
| 1730542853 | Sylvester Luu | General Practice | San Antonio Military Medical Center Mche-zdm-m Internal, Medicine, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-04-05 |
| 1013384866 | Klarisana Physician Services Pllc | General Practice | 8600 Wurzbach Rd Ste 1110, San Antonio, TX 78240 | 2015-08-27 |
| 1336538925 | Woundtech of Texas | General Practice | 12000 Huebner Rd Ste 104, San Antonio, TX 78230-1209 | 2015-01-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on MATTHEW HAGEN.
| 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.