Kevin Hagemeier, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

8936 Southpointe Dr
Suite B-1
Indianapolis, IN 46227-7507

Phone

(317) 534-2852

Fax

(317) 885-8199

NPI assigned

Mar 30, 2017

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1124550025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON ST",
            "city": "BUTLER",
            "state": "IN",
            "postal_code": "467211179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DR",
            "address_2": "SUITE B-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277507",
            "telephone_number": "317-534-2852",
            "fax_number": "317-885-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMEIER",
        "first_name": "KEVIN",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hagedorn Enterprises
• Eli Harrison Hagedorn, MS, BS
• Isabel Clare Hagedorn, PHARMD
• Neva E Hagedorn, LCSW
• Jonathan Lee Hagee, OD
• Monica Hagen, PT
• Natalie T Hagen, LMHC
• Rachael Hagen, DO
• Kayla Lyn Hagerty, FNP-C
• Madison N Hagerty, SLP

• Prosthetic/Orthotic Supplier in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.