Patrick C Hagen, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

019889 Issued in LA

Practice address

2000 Audubon Ave
Suite C
Thibodaux, LA 70301-5074

Phone

(985) 655-3687

Fax

(985) 447-8556

NPI assigned

Mar 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Primary Care of Louisiana LLC

  • Primary Care Nurse Practitioner
  • Gray, LA
  • NPI 1114605722
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356319669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUDUBON AVE",
            "address_2": "SUITE C",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015074",
            "telephone_number": "985-655-3687",
            "fax_number": "985-447-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUDUBON AVE",
            "address_2": "SUITE C",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015074",
            "telephone_number": "985-655-3687",
            "fax_number": "985-447-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "019889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1908631",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Guillory, RSW
• Tanner Paul Guillot, RDN
• Andrew Roger Gustavson, M.D.
• SH'Kira Guy
• Jacob Patrick Hagen
• Kevin Haime
• Halo Medical Wigs
• Janelle Hamann, MA
• Martha L Hamilton, PHD
• Walt Hammerli

• Otolaryngology Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.