Active NPI
Eric K Hage, CRNA
- Certified Registered Nurse Anesthetist
- Fort Dodge, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 113289
- Practice address
- 802 Kenyon Rd
Fort Dodge, IA 50501-5740 - Phone
- (515) 573-3101
- Fax
- (515) 574-6456
- NPI assigned
- Dec 16, 2005
- Last updated
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 113289 | IA | Primary |
Addresses
Primary practice location
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Mailing address
PO Box 310117
Des Moines, IA 50331-0117
Phone (800) 303-7642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487728 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113289 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Interoperability endpoints
- ehage3800@direct.unitypoint.org
Organizations & group practices 3
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.
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Nurse Anesthetist, Certified Registered
-
dba Sports Rehab & Professional Therapy
- Rehabilitation Clinic/Center
- Storm Lake, IA
- NPI 1033289749
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- Critical Access Hospital
- Lake City, IA
- NPI 1063497188
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1326024910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310117",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503310117",
"telephone_number": "800-303-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015740",
"telephone_number": "515-573-3101",
"fax_number": "515-574-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGE",
"first_name": "ERIC",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "113289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487728",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Dodge, IA
- Kelcie Gunderson, DNP, ARNP, FNP-C
- Kelly Marie Gunderson, PHARMD
- Gypsum Creek Healthcare, Inc. (Fort Dodge Health and Rehabilitation)
- Jana Maria Hacker, FNP-C
- Jordan Paul Hagar, DC
- Aubrey R Hagen, CRNA
- Stacy Hale, CADC
- Hamilton County Public Hospital (Van Diest Family Health Clinic of Fort Dodge)
- Dana Hamilton
- Emily Hamilton, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.