Michelle L Hagenbuch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

150473 Issued in SC

Practice address

500 Plaza Circle
Suite J
Clinton, SC 29325

Phone

(864) 938-9690

Fax

(864) 833-9039

NPI assigned

Dec 8, 2005

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Family Medicine of Laurens County PAGroup PAC ID 3375602048, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
• Prisma Health Laurens County Hospital Hospital, Clinton, SC, CCN 420038
• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carolina Family Medicine of Laurens County PA

  • Clinic/Center
  • Clinton, SC
  • NPI 1649470964
  Medicare reassignment Care Compare group NPD Authorized official
• The Family Healthcare Center

  • Family Medicine Physician
  • Clinton, SC
  • NPI 1457399396
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of South Carolina LLC

  dba Amedisys Home Health of Clinton

  • Home Health Agency
  • Clinton, SC
  • NPI 1679531156
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Laurens County Hospital

  • General Acute Care Hospital
  • Clinton, SC
  • NPI 1245786367
  Care Compare affiliation
• Self Regional Healthcare

  dba Pain Management Greenwood

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Inpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Outpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003
  Care Compare affiliation
• Self Regional Healthcare

  dba Pain Management Laurens

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, SC
  • NPI 1720938103

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1053396358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIRCLE",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-938-9690",
            "fax_number": "864-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIRCLE",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-938-9690",
            "fax_number": "864-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENBUCH",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "150473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Health System (GHS Cancer Inst - Laurens)
• Greenville Health System (GHS Laurens Co Mem Hosp Subacute)
• John M. Griz, M.D.
• Giridhar Gundu, M.D.
• Harriet Guy, RN
• Sherry Hampton, NP
• Christine D Hamrick, MD
• Jean Nira Hamrick, PTA
• Timothy James Harkins, MD
• Daniel P Hartley, D.M.D.

• Family Medicine Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.