Hagerman Family Physicians, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35076863 Issued in OH

Legal business name

HAGERMAN FAMILY PHYSICIANS, INC

Practice address

128 Depot St
Wauseon, OH 43567-1305

Phone

(419) 335-0351

Fax

(419) 335-0397

NPI assigned

Sep 20, 2006

Last updated

Dec 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly L Hagerman, M.D.NPI 1487650446

Title

Owner

Phone

(419) 335-0351

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Hagerman, M.D.

  • Family Medicine Physician
  • Wauseon, OH
  • NPI 1487650446
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa A Pifer, MD

  • Family Medicine Physician
  • Wauseon, OH
  • NPI 1396150009
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1538266739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 DEPOT ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671305",
            "telephone_number": "419-335-0351",
            "fax_number": "419-335-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DEPOT ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671305",
            "telephone_number": "419-335-0351",
            "fax_number": "419-335-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERMAN FAMILY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "HAGERMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-335-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35076863",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35082560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia G. Grimolizzi-Jensen, LISW
• Suzanne Griner
• Sarah Gruner
• Michelle G Haas, N.P.
• Alayna Michelle Hackert
• Kimberly Hagerman, M.D.
• Kimberly Hall
• Libby Hamilton
• Craig Hand
• Nicole Harding

• Primary Care Clinic/Center in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.