Ingrid M. Hagen, M.D.
Individual provider Active NPI General Practice Physician · Estes Park, CO
NPI 1285915264 · NPPES record last updated Sep 2, 2011
Key facts
- NPI
- 1285915264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 13577 (CO)
- Practice address
- 1352 Community Dr.
Estes Park, CO 80517-7434 - Phone
- (970) 586-4386
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13577 | CO | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13577 | CO | Yes |
Addresses
Primary practice location
1352 Community Dr.
Estes Park, CO 80517-7434
Mailing address
1352 Community Dr.
Estes Park, CO 80517-7434
Phone (970) 586-4386
Other providers in Estes Park, CO
- Rebecca Macintyre Greer
- Tim A Grether
- Noelle Guinn
- Kristine L. Gunsaulus-Musick
- Christine J Guy
- Linda London Hanak
- Mark Hansen
- Harmony Commercial
- Harmony Foundation, Inc.
- Lynn Ann Harris
All providers in Estes Park, CO · General Practice Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.