Pamela Joanne Hagwood, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 00971 NP Issued in OH

Practice address

2912 Springboro W
Suite 201
Moraine, OH 45439-1674

Phone

(937) 439-7411

Fax

(937) 439-8030

NPI assigned

Oct 5, 2006

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pamela Joanne Stuchlak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Mvhe Inc

  dba Middletown Medical Group

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD (past)
• Osama Al-Samkari M.D. Inc

  • Clinic/Center
  • Dayton, OH
  • NPI 1083953103
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1568558534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W",
            "address_2": "SUITE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-439-7411",
            "fax_number": "937-433-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W",
            "address_2": "SUITE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-439-7411",
            "fax_number": "937-439-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGWOOD",
        "first_name": "PAMELA",
        "middle_name": "JOANNE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN162016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 00971 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "STUCHLAK",
            "middle_name": "JOANNE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Gumbs
• Anne Haas
• Marcus Haase
• Heather Ann Hackett, MSSW, LSW
• Esther Haffey, LPC
• Barbara Halabi, MS, LPCC-S
• Julie Marie Hall, APRN, PMHNP-BC
• Matthew Alan Hall, DNP, CRNA
• Cheryl E Hamant Roslund, LISW-S
• Courtnee Amber Hamilton

• Family Nurse Practitioner in Moraine, OH
• Providers in Moraine, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.