Individual provider Active NPI

Paul G Hagood, MD

  • Urology Physician
  • Tulsa, OK
National Provider Identifier
1124087952
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18856 Issued in OK
Practice address
1145 S Utica Ave
Ste 202
Tulsa, OK 74104-4022
Phone
(918) 579-3130
Fax
(918) 579-3139
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18856 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
Ste 202
Tulsa, OK 74104-4022

Mailing address

1145 S. Utica Ave
Ste 202
Tulsa, OK 74104-4022
Phone (918) 579-3130

Other identifiers 2

IdentifierTypeStateIssuer
P00117586OtherRAILROAD MEDICARE
100208950AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20040117000143 OK Practitioner - Urology 4385544550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

4408 S Harvard Ave
Tulsa, OK 74135-2615
Phone (918) 574-0350

8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000

8803 S 101St E Ave
Suite 385
Tulsa, OK 74133-5779
Phone (918) 250-2033

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Urology CurrentSince Oct 31, 2014 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Oct 31, 2014 Accepting new patients
Paul Guy Hagood Urology PastSince Jul 15, 1994 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Kay County Clinic Company LLC PastSince May 1, 2021 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1809 E 13th St
Ste 300
Tulsa, OK 74104
Phone (918) 809-0575

Dept 1206
Tulsa, OK 74182

8803 S 101st East Ave
Ste 130
Tulsa, OK 74133
Phone (918) 459-0027

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

Interoperability endpoints

  • Direct secure messaging: paul.hagood@direct.stjohnhealthsystem.com
  • Direct secure messaging: phagood118792@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1124087952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S. UTICA AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044022",
            "telephone_number": "918-579-3130",
            "fax_number": "918-579-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044022",
            "telephone_number": "918-579-3130",
            "fax_number": "918-579-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "18856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00117586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100208950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.