Individual provider Active NPI

Amanda Dare Durigg Hagen, M.D.

  • Occupational Medicine Physician
  • Garfield Heights, OH
National Provider Identifier
1326019472
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35.127648 Issued in OH
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

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
260508-1NYMDPreventive Medicine/Occupational Environmental Medicine Physician
04-39461KSMDOccupational Medicine Physician
C1-0007340DEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Health Services, LLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.