Alan Hagen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

531 Vandalia St FL 2
Collinsville, IL 62234-4061

Phone

(618) 343-0500

Fax

(618) 343-0530

NPI assigned

Jul 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114946175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 VANDALIA ST FL 2",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344061",
            "telephone_number": "618-343-0500",
            "fax_number": "618-343-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VANDALIA ST FL 2",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344061",
            "telephone_number": "618-343-0500",
            "fax_number": "618-343-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeantielle M Gonzalez, M.S. CCC-SLP
• Rachel Gotshall
• Michelle Graham, MSW, LSW
• Megan Lola Griffing, RD
• Kyle Sumio Hack, D.C.
• Laura Nolte Hahn, D.M.D
• Shannon Noelle Hall-Nannini, MSW, LSW
• Amy Hargett, M.S., CCC-SLP
• Cal W Harmon, DMD
• Dawn Marie Harris, PT

• Internal Medicine Physician in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.