Larry Lynn Hagan, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

22558 Issued in WV

Practice address

1001 20TH St
Huntington, WV 25703-2019

Phone

(304) 529-6100

Fax

(304) 529-0229

NPI assigned

Jun 6, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-State Allergy, Inc

  • Allergy Physician
  • Ashland, KY
  • NPI 1386786796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1053350751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032019",
            "telephone_number": "304-529-6100",
            "fax_number": "304-529-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032019",
            "telephone_number": "304-529-6100",
            "fax_number": "304-529-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "LARRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WV",
            "license": "22558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007713",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L2725779",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011693000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Haddox, MD
• Sarah Haddox, PT
• Meredith Paige Hadlock, FNP
• Angela Hafer, LGSW
• Brooklyn Marie Haffer, BA
• Amanda K Hager, LMT
• Brooke Hager
• Pamela L Hager
• Susan Hager, CFNP
• Brittany R. Haggerty

• Allergy Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Allergy Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.