DR. CHARLES A HAGEN


Address: 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393
Phone: 2568822003

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBSAL 511-86994 01

Office Location

Street Address 3007 MEMORIAL PKWY SW
City HUNTSVILLE
State AL
Zip Code 35801-5393

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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