MR. BENNY RAY HAGA (NPI# 1972677474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972677474 |
| Entity Type | Individual |
| Full Name | MR. BENNY RAY HAGA |
| Credential | NP |
| Practice Address |
1995 West Ridge Road Wytheville VA 24382 |
| Practice Telephone | 2762231983 |
| Practice Fax Number | 2762231316 |
| Mailing Telephone | 2762231983 |
| Mailing Fax Number | 2762231316 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0001056493 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 500019629 | 01 | |
| JOHN DEERE HEALTH | TN0102 | 01 |
| Street Address |
1995 WEST RIDGE ROAD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780645184 | Eugenia Danyelle Privett | Physician Assistant | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-03-28 |
| 1710016001 | N Paul Morin II Md PC | Physical Therapist | 1995 West Ridge Road, Wytheville, VA 24382 | 2007-03-05 |
| 1346314846 | Susan Nadine Earles | Physical Therapist | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
| 1144394644 | Norman Paul Morin II | Orthopaedic Surgery | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
| 1215001714 | N Paul Morin II Md PC | Clinic/Center | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
| 1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
| 1225653629 | Christine Fay Amorosi | Nurse Practitioner | 1200 S Huntress Ct, Mc Lean, VA 22102-2515 | 2020-06-11 |
| 1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
| 1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
| 1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
| 1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on MR. BENNY RAY HAGA.
| 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.