David B Hagie DO LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

DO19825 Issued in OR

Legal business name

DAVID B HAGIE DO LLC

Practice address

850 Siskiyou Blvd
Suite 7
Ashland, OR 97520-2125

Phone

(541) 482-0342

Fax

(541) 482-6986

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David B Hagie, D.O.

Title

Sole Member

Phone

(541) 482-0342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1548339443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SISKIYOU BLVD",
            "address_2": "SUITE 7",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202125",
            "telephone_number": "541-482-0342",
            "fax_number": "541-482-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SISKIYOU BLVD",
            "address_2": "SUITE 7",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202125",
            "telephone_number": "541-482-0342",
            "fax_number": "541-482-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B HAGIE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HAGIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-482-0342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO19825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromusculoskeletal Medicine & OMM Physician in Ashland, OR
• Providers in Ashland, OR by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.