DR. CHARLES A HAGEN (NPI# 1952305518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952305518 |
Entity Type | Individual |
Full Name | DR. CHARLES A HAGEN |
Credential | MD |
Practice Address |
3007 Memorial Pkwy Sw Huntsville AL 35801-5393 |
Mailing Address |
Po Box 18084 Huntsville AL 35804-8084 |
Practice Telephone | 2568822003 |
Practice Fax Number | 2567054630 |
Mailing Telephone | 2568822003 |
Mailing Fax Number | 2567054630 |
Enumeration Date | 2005-06-10 |
Last Update Date | 2018-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 10305 | AL | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 10305 | AL | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD 10305 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBSAL | 511-86994 | 01 |
Street Address |
3007 MEMORIAL PKWY SW |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801-5393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235671231 | Covenant Pain Therapies Center, LLC | Pain Medicine | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2016-11-08 |
1821412396 | Betsy Mcculloch Osborn | Nurse Practitioner | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2014-02-04 |
1346679834 | Zaheer A Khan Md PC | Internal Medicine | 3007 Memorial Pkwy Sw, Suite B, Huntsville, AL 35801-5393 | 2013-11-05 |
1588003735 | Julie Ellen Mccormick | Nurse Practitioner | 3007 Memorial Pkwy Sw, Suite B, Huntsville, AL 35801-5393 | 2013-06-20 |
1073803680 | Patricia Phillips Elmore | Nurse Practitioner | 3007 Memorial Pkwy Sw, Ste C, Huntsville, AL 35801-5393 | 2011-04-15 |
1861724569 | Laura E. Dyer Md PC | Emergency Medicine | 3007 Memorial Pkwy Sw, Suite B, Huntsville, AL 35801-5393 | 2010-02-04 |
1952631426 | Elderly Care Associates | Clinic/Center | 3007 Memorial Pkwy Sw, Suite B, Huntsville, AL 35801-5393 | 2010-01-06 |
1275710717 | Diana Marie Hankey Underwood | Nurse Practitioner | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2008-01-28 |
1134264567 | Pearle Vision | Technician/Technologist | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2007-02-21 |
1053486704 | Kenneth Dean Willis | Anesthesiology | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2006-11-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
1952722738 | Carewell PC | General Practice | 5805 Lenlock Cir Se, Huntsville, AL 35802-1925 | 2013-12-23 |
1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
1477810877 | Hung Trong Dao | General Practice | 829 10th Street, Huntsville, TX 77320-4721 | 2012-04-23 |
1144523648 | Anne Bauer, M.d., P.C. | General Practice | 204 Lowe Ave. Bldg 1 Suite 2, Huntsville, AL 35801 | 2010-12-06 |
1245449024 | Hayley Michelle Garner Degraaff | General Practice | 4245 Balmoral Dr Sw Ste 202, Huntsville, AL 35801-6497 | 2007-05-21 |
1851444368 | Valley Family Physician Care | General Practice | 1868 Sparkman Dr. Nw, Huntsville, AL 35816-1122 | 2007-01-19 |
1912006735 | American Family Care, Inc. | General Practice | 4550 University Drive, Huntsville, AL 35816 | 2006-09-21 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
Please comment or provide details below to improve the information on DR. CHARLES A 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.