Individual provider Active NPI

Scott M Hagle, M.D.

  • General Practice Physician
  • Marquette, MI
National Provider Identifier
1497738090
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301082043 Issued in MI
Practice address
420 W Magnetic St
Suite ER
Marquette, MI 49855-2711
Phone
(888) 674-0854
Fax
(906) 225-3370
NPI assigned
Nov 29, 2005
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301082043 MI
General Practice Physician 208D00000X 4301082043 MI Primary

Addresses

Primary practice location

420 W Magnetic St
Suite ER
Marquette, MI 49855-2711

Mailing address

420 W Magnetic St
Marquette, MI 49855-2700
Phone (906) 225-4821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20031110000399 MI Practitioner - Emergency Medicine 5294648846 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W Magnetic St
Marquette General Emergency Medicin
Marquette, MI 49855-2700
Phone (906) 225-3466

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301082043MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acquisition Bell Hospital LLC CurrentSince Jun 12, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Marquette Medical Mindful Wellness CurrentSince Feb 5, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Baraga County Memorial Hospital Emergency Medicine CurrentSince Aug 15, 2017 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Jun 12, 2017 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Marquette Medical PLLC Emergency Medicine CurrentSince Feb 5, 2024 Accepting new patients
Baraga County Memorial Hospital CurrentSince Aug 15, 2017 Accepting new patients
Acquisition Bell Hospital LLC Emergency Medicine Past Accepting new patients

Locations

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

1025 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 239-5050

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

2833 US Highway 41 W
Marquette, MI 49855

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

420 W Magnetic St
Ste Er
Marquette, MI 49855
Phone (888) 674-0854

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1497738090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552700",
            "telephone_number": "906-225-4821",
            "fax_number": "906-225-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "address_2": "SUITE ER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "888-674-0854",
            "fax_number": "906-225-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLE",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301082043",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301082043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.