Individual provider Active NPI

Jeffrey Hagman

  • Prosthetics Case Management
  • Warrensville Heights, OH
National Provider Identifier
1447791736
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
LP238 Issued in OH
Practice address
26401 Emery Rd Suite 111
Warrensville Heights, OH 44128-5970
Phone
(216) 342-5516
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X LP238 OH Primary

Addresses

Primary practice location

26401 Emery Rd Suite 111
Warrensville Heights, OH 44128-5970

Mailing address

26401 Emery Rd Suite 111
Warrensville Heights, OH 44128-5970
Phone (216) 342-5516

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP238OHMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Prosthetics Inc. CurrentSince Oct 20, 2019 Accepting new patients

Locations

4949 Galaxy Pkwy
Ste W
Warrensville Heights, OH 44128
Phone (216) 508-4050

26401 Emery Rd
Ste 111
Warrensville Heights, OH 44128
Phone (216) 342-5516

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1447791736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26401 EMERY RD SUITE 111",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285970",
            "telephone_number": "216-342-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 EMERY RD SUITE 111",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285970",
            "telephone_number": "216-342-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMAN",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "LP238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.