Organization Active NPI

Marion L. Hagan M.D.

  • Family Medicine Physician
  • French Lick, IN
National Provider Identifier
1497946974
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01019427 Issued in IN
Legal business name
MARION L. HAGAN M.D.
Practice address
567 S Maple St
French Lick, IN 47432-2245
Phone
(812) 936-4515
Fax
(812) 936-4536
NPI assigned
Aug 8, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Marion L. Hagan, M.D.
Title
Physician/ Owner
Phone
(812) 936-4515

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01019427 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

567 S Maple St
French Lick, IN 47432-2245

Mailing address

567 S Maple St
French Lick, IN 47432-2245
Phone (812) 936-4515

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000000081178OtherBLUE SHEILD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2007.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1497946974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 S MAPLE ST",
            "city": "FRENCH LICK",
            "state": "IN",
            "postal_code": "474322245",
            "telephone_number": "812-936-4515",
            "fax_number": "812-936-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 S MAPLE ST",
            "city": "FRENCH LICK",
            "state": "IN",
            "postal_code": "474322245",
            "telephone_number": "812-936-4515",
            "fax_number": "812-936-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION L. HAGAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "812-936-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01019427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "000000081178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in French Lick, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.