Brenda M Hagedorn (NPI# 1215343397, PAC ID# 6103044482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1215343397 |
| PAC ID by PECOS | 6103044482 |
| Professional Enrollment ID | I20140828000439 |
| Full Name | Brenda M Hagedorn |
| Organization Legal Name | THE WILLIAMSPORT HOSPITAL |
| Address |
1100 Grampian Blvd Williamsport PA 17701-1909 |
| Phone Number | 5703268000 |
| Gender | F |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3678473550 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390045 | WILLIAMSPORT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 215 E Water St, Muncy, PA 17756-8828 | 5703278137 | THE WILLIAMSPORT HOSPITAL |
| 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 5703268000 | THE WILLIAMSPORT HOSPITAL |
| Organization Legal Name | THE WILLIAMSPORT HOSPITAL |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayson N Miller | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Eric Cipcic | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Timothy M Douglass | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Lynne M Brown | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| David Rhodes | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| David J Hoffman | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Ashley E Davis | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 700 High St, Williamsport, PA 17701-3100 |
| Aliya A Lazinsky | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Patricia A Davidson | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 215 E Water St, Muncy, PA 17756-8828 |
| Kristin F Adkins | Certified Registered Nurse Anesthetist (crna) | The Williamsport Hospital | 700 High St, Williamsport, PA 17701-3100 |
| Street Address |
1100 GRAMPIAN BLVD |
| City | WILLIAMSPORT |
| State | PA |
| Zip | 17701-1909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Hawley | Podiatry | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Ganga Ranasuriya | Pulmonary Disease | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Matthew Ethan Johnson | Physician Assistant | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Katya Elysia Vallon | Physician Assistant | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Scott A Segel | Endocrinology | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Kevin W Kist Jr. | Pulmonary Disease | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Stacy E Niditch | Nurse Practitioner | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Erin Leigh Miller | Psychologist, Clinical | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| William R Beltz | General Surgery | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Christine Nolan | Podiatry | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Zelewicz | Clinical Social Worker | Rear 1012 Washington Blvd, Williamsport, PA 17701-1012 | |
| Russell L Gombosi | Internal Medicine | 3155 Lycoming Creek Rd, Williamsport, PA 17701-1032 | |
| Darrin Lynn Wascher | Chiropractic | 2403 Lycoming Creek Rd, Williamsport, PA 17701-1163 | |
| Thomas Robert Piccirilli | Optometry | Independence Corporation | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 |
| David G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Damon G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Gregory A Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Brett L Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Danielle Farer | Nurse Practitioner | Gps Physician Group, PC | 1201 Rural Ave, Williamsport, PA 17701-1669 |
| Lee Michael Ciccarelli | Geriatric Medicine | 1251 Rural Ave, Williamsport, PA 17701-1697 | |
| Find all physicians in zip 17701 | |||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WILLIAMSPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Brenda M Hagedorn.
| 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.