Thomas J Hagele (NPI# 1659638443, PAC ID# 0042506750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1659638443 |
| PAC ID by PECOS | 0042506750 |
| Professional Enrollment ID | I20160907000544 |
| Full Name | Thomas J Hagele |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Address |
1717 W Main St Suite 201 Newark OH 43055-1347 |
| Phone Number | 2205642900 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6204740731 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 120 Mcmillen Dr, Newark, OH 43055-1809 | 2205644806 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 1320 W Main St, Newark, OH 43055-1822 | LICKING MEMORIAL PROFESSIONAL CORPORATION | |
| 1717 W Main St, Suite 201, Newark, OH 43055-1347 | 2205642900 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 36 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 88 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Kearse | Obstetrics/gynecology | Licking Memorial Professional Corporation | 15 Messimer Dr, Newark, OH 43055-1841 |
| Michael Isaac Sniderman | Anesthesiology | Licking Memorial Professional Corporation | 1320 W Main St, Newark, OH 43055-1822 |
| Bradley R Lawson | Otolaryngology | Licking Memorial Professional Corporation | 36 Mcmillen Dr, Newark, OH 43055-1809 |
| Donald Fairbanks | Family Medicine | Licking Memorial Professional Corporation | 270 Goosepond Rd, Suite 102, Newark, OH 43055-3104 |
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Richard D Kennedy | Family Medicine | Licking Memorial Professional Corporation | 96 Integrity Dr, Hebron, OH 43025-7013 |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Jacob Z Slepian | Otolaryngology | Licking Memorial Professional Corporation | 88 Mcmillen Dr, Newark, OH 43055-1809 |
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Stephen Pickstone | Psychiatry | Licking Memorial Professional Corporation | 200 Messimer Dr, Newark, OH 43055-3627 |
| Street Address |
1717 W MAIN ST SUITE 201 |
| City | NEWARK |
| State | OH |
| Zip | 43055-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Garth Allen Bennington | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Mark S Law | Ophthalmology | Center for Sight Inc | 1717 W Main St, Suite 100, Newark, OH 43055-1385 |
| John Reimbold | Qualified Audiologist | 1717 W Main St, Po Box 1058, Carbondale, IL 62903-1058 | |
| Andrew J Terlecky | Orthopedic Surgery | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Elliot Davidoff | Ophthalmology | Center for Sight Inc | 1717 W Main St, Suite 100, Newark, OH 43055-1385 |
| Anthony David D'amico | Physician Assistant | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Rosita D Frazier | Gastroenterology | Licking Memorial Professional Corporation | 1717 W Main St, Suite 203, Newark, OH 43055-1362 |
| Melissa S Tripoli | Ophthalmology | Center for Sight Inc | 1717 W Main St, Suite 100, Newark, OH 43055-1385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Greer | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Harvinder S Gill | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Joshua R Thomas | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Asegid H Kebede | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Ilya G Goldenberg | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Alissa V Ackelson | Infectious Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Armand A Bermudez | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Michael J Kirwin | Family Practice | 2000 Tamarack Rd, Newark, OH 43055-1183 | |
| Gene Harrison | Chiropractic | 1951 Tamarack Rd, Newark, OH 43055-1300 | |
| Caroline Thompson | Clinical Social Worker | National Youth Advocate Program Inc | 2112 Cherry Valley Rd, Newark, OH 43055-1323 |
| Find all physicians in zip 43055 | |||
| City | NEWARK |
| Zip Code | 43055 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEWARK + DERMATOLOGY |
Please comment or provide details below to improve the information on Thomas J Hagele.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.