Organization Active NPI

Jeffrey J. Haggenjos, D.O., Inc

  • General Practice Physician
  • New Lexington, OH
National Provider Identifier
1114116910
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34-002872 Issued in OH
Legal business name
JEFFREY J. HAGGENJOS, D.O., INC
Practice address
399 Lincoln Park Dr
Suite a
New Lexington, OH 43764-1078
Phone
(740) 343-4447
Fax
(740) 343-4451
NPI assigned
Oct 17, 2007
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Jeffrey Jordan Haggenjos, D.O.
Title
Owner
Phone
(740) 344-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34-002872 OH Primary

Addresses

Primary practice location

399 Lincoln Park Dr
Suite a
New Lexington, OH 43764-1078

Mailing address

PO Box 231
New Lexington, OH 43764-0231
Phone (740) 343-4447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1114116910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437640231",
            "telephone_number": "740-343-4447",
            "fax_number": "740-343-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 LINCOLN PARK DR",
            "address_2": "SUITE A",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641078",
            "telephone_number": "740-343-4447",
            "fax_number": "740-343-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. HAGGENJOS, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "HAGGENJOS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-344-4447",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34-002872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.