Kelly McGinnis Hager, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

73679 Issued in CT

Practice address

155 Van Gordon St
Lakewood, CO 80228-1709

Phone

(833) 633-8846

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1073003224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "833-633-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "833-633-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "KELLY",
        "middle_name": "MCGINNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "73679",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "73679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hackett, OTR/L
• Jay Alexander Hafner, D.C.
• Thomas Haft
• Madeline Hagan, RBT
• Heather Hageman
• Megan Hager
• John Alexander Hague V, LPC
• Shari Haidvogl, P.T.A.
• Dana Renee Haines, MS, ATC, CSCS, CES
• Meryl Elizabeth Haines, LMT

• Occupational Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Occupational Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.