Michelle N Hagan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.002361 Issued in OH

Practice address

33290 Bainbridge Rd
Solon, OH 44139-2802

Phone

(440) 600-7675

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Ashtabula County Medical Center

  • Specialist
  • Ashtabula, OH
  • NPI 1942247143
  Medicare reassignment NPD
• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  OH

  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment
• Chagrin Valley Anesthesia, LLC

  • Ambulatory Surgical Clinic/Center
  • Beachwood, OH
  • NPI 1528002490
  NPD
• Premier Vein and Vascular Care LLC

  • Vascular Surgery Physician
  • Solon, OH
  • NPI 1194373704
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1063457265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 HAMPTON CT",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775022",
            "telephone_number": "440-413-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33290 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392802",
            "telephone_number": "440-600-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Gross, DDS
• Richard Grossberg, MD
• Guard Your Steps Podiatry Inc
• Olga Gudalevich
• Maged Guirguis, DDS
• Amy Sue Hager, D.C.
• George Haggerty
• Hair Goals RX
• Sara Hakeem
• Sarah Joy Haley, PT, DPT

• Medical Physician Assistant in Solon, OH
• Providers in Solon, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.