Jeffrey J Haggenjos (NPI# 1417940172, PAC ID# 5698671246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1417940172 |
| PAC ID by PECOS | 5698671246 |
| Professional Enrollment ID | I20040413001368 |
| Full Name | Jeffrey J Haggenjos |
| Organization Legal Name | JEFFREY J HAGGENJOS DO INC |
| Address |
399 Lincoln Park Dr Suite A New Lexington OH 43764-1078 |
| Phone Number | 7403434447 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 8527052638 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360072 | FAIRFIELD MEDICAL CENTER |
| 360039 | GENESIS HOSPITAL |
| 361330 | HOCKING VALLEY COMMUNITY HOSPITAL |
| 360242 | JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764-1078 | 7403434447 | JEFFREY J HAGGENJOS DO INC |
| Organization Legal Name | JEFFREY J HAGGENJOS DO INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney N Valentine | Nurse Practitioner | Jeffrey J Haggenjos Do Inc | 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764-1078 |
| Street Address |
399 LINCOLN PARK DR SUITE A |
| City | NEW LEXINGTON |
| State | OH |
| Zip | 43764-1078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney N Valentine | Nurse Practitioner | Jeffrey J Haggenjos Do Inc | 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764-1078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica A Grygo | Family Medicine | Genesis Medical Group, LLC | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 |
| Audrey Baker | Nurse Practitioner | Genesis Medical Group, LLC | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 |
| John Manard | Optometry | Robert J. Dittoe, O.d., Inc. | 391 Lincoln Park Dr, New Lexington, OH 43764-1080 |
| Robert J Dittoe | Optometry | Robert J. Dittoe, O.d., Inc. | 391 Lincoln Park Dr, New Lexington, OH 43764-1080 |
| Alberta D Espinoza-lyons | Nurse Practitioner | Lyons Primary Urgent Care LLC | 322 W Water St, New Lexington, OH 43764-1479 |
| Catherine Ann Duncan | Nurse Practitioner | Lyons Primary Urgent Care LLC | 322 W Water St, New Lexington, OH 43764-1479 |
| Alicia N Ditty | Physical Therapy | First Settlement Physical Therapy | 775 Carroll St, New Lexington, OH 43764-9415 |
| Sara Sabo | Physical Therapy | First Settlement Physical Therapy | 775 Carroll St, New Lexington, OH 43764-9415 |
| Lisa M Harper | Clinical Social Worker | Allwell Behavioral Health Services | 1375 Commerce Dr, New Lexington, OH 43764-9511 |
| Bradley C Wilson | Family Medicine | 7756 State Route 37 E, New Lexington, OH 43764-9512 | |
| Find all physicians in zip 43764 | |||
| City | NEW LEXINGTON |
| Zip Code | 43764 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | NEW LEXINGTON + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jeffrey J Haggenjos.
| 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.