J Edward Dagen MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD017601E Issued in PA

Legal business name

J EDWARD DAGEN MD PC

Practice address

9 Brookwood Ave
Carlisle, PA 17013-9126

Phone

(717) 245-0131

Fax

(717) 245-9611

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Edward Dagen, M.D.NPI 1558313551

Title

President

Phone

(717) 245-0131

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J Edward Dagen, M.D.

  • Urology Physician
  • Hershey, PA
  • NPI 1558313551
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174746952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOKWOOD AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170139126",
            "telephone_number": "717-245-0131",
            "fax_number": "717-245-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROOKWOOD AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170139126",
            "telephone_number": "717-245-0131",
            "fax_number": "717-245-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J EDWARD DAGEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAGEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-245-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD017601E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9390390",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "095786",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03250401",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007397920002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "527353",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.