Active NPI
Steven V Hagan, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Omaha, NE
National Provider Identifier
1336116367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 19572
- Practice address
- 2725 S 144TH St
#110
Omaha, NE 68144-5243 - Phone
- (402) 637-0400
- Fax
- (402) 637-0401
- NPI assigned
- Mar 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 19572 | NE | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 30699 | IA |
Addresses
Primary practice location
2725 S 144TH St
#110
Omaha, NE 68144-5243
Mailing address
2725 S 144TH St
Ste 212
Omaha, NE 68144-5253
Phone (402) 637-0400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Orthopaedic Associates LLP | Sports Medicine | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Omaha, NE
- NPI 1316994825
Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1336116367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 S 144TH ST",
"address_2": "STE 212",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445253",
"telephone_number": "402-637-0400",
"fax_number": "402-637-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 S 144TH ST",
"address_2": "#110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445243",
"telephone_number": "402-637-0400",
"fax_number": "402-637-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "STEVEN",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NE",
"license": "19572",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IA",
"license": "30699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.