Individual provider Active NPI

John H Hager, CRNA

  • Certified Registered Nurse Anesthetist
  • Nitro, WV
National Provider Identifier
1255372579
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
020899 Issued in WV
Practice address
220 Hillside Dr
Nitro, WV 25143-2328
Phone
(304) 346-9400
Fax
(904) 494-6467
NPI assigned
Jun 9, 2006
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 020899 WV Primary

Addresses

Primary practice location

220 Hillside Dr
Nitro, WV 25143-2328

Mailing address

222 Hillside Dr
Nitro, WV 25143-2328
Phone (304) 346-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
23388SCMDGerontology Nurse Practitioner
020899WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Professional Anesthesia Service,Inc. Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1255372579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HILLSIDE DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251432328",
            "telephone_number": "304-346-9400",
            "fax_number": "904-494-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HILLSIDE DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251432328",
            "telephone_number": "304-346-9400",
            "fax_number": "904-494-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "020899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nitro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.