Active NPI
Amanda Dare Durigg Hagen, M.D.
- Occupational Medicine Physician
- Garfield Heights, OH
National Provider Identifier
1326019472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 35.127648
- Practice address
- Cleveland Clinic at Work
5595 Transportation Blvd. #220
Garfield Heights, OH 44125 - Phone
- (216) 587-5431
- Fax
- (216) 587-5474
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 260508-1 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 35.127648 | OH | |
| Occupational Medicine Physician | 2083X0100X | 04-39461 | KS | |
| General Practice Physician | 208D00000X | C1-0007340 | DE | |
| Occupational Medicine Physician | 2083X0100X | 35.127648 | OH | Primary |
Addresses
Primary practice location
Cleveland Clinic at Work
5595 Transportation Blvd. #220
Garfield Heights, OH 44125
Mailing address
Cleveland Clinic at Work
5595 Transportation Blvd. #220
Garfield Heights, OH 44125
Phone (216) 587-5431
Other names 1
- Dr. Amanda Dare Durigg
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260508-1 | NY | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 04-39461 | KS | MD | Occupational Medicine Physician |
| C1-0007340 | DE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Health Services, LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- amanda.hagen.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Akron, OH
- NPI 1942622022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1326019472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC AT WORK",
"address_2": "5595 TRANSPORTATION BLVD. #220",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "44125",
"telephone_number": "216-587-5431",
"fax_number": "216-587-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC AT WORK",
"address_2": "5595 TRANSPORTATION BLVD. #220",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "44125",
"telephone_number": "216-587-5431",
"fax_number": "216-587-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "AMANDA",
"middle_name": "DARE DURIGG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NY",
"license": "260508-1",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OH",
"license": "35.127648",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KS",
"license": "04-39461",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C1-0007340",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "35.127648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "DURIGG",
"middle_name": "DARE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.