Dean David Hageman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036049165 Issued in IL

Practice address

1416 Prairie Ave
Belleville, IL 62220-3681

Phone

(618) 235-5998

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Mid-America Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • O'Fallon, IL
  • NPI 1730147737
  NPD (past)
• Radiology Consultants of Mid-America, PC

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1598716771
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1609143759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PRAIRIE AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203681",
            "telephone_number": "618-235-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PRAIRIE AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203681",
            "telephone_number": "618-235-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMAN",
        "first_name": "DEAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036049165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36049165",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwinn Chiropractic Center
• Megan Renee Gwinn, D.C.
• Dolph D Haege, MD
• Sharon Faye Haege
• Michele Anette Hagarty, APN
• Matthew Dean Hageman, MD
• Ganan Hahn, PA
• Jay W Haines II, M.D.
• Stephanie Renee Haines, DMD
• Karla Marie Halde, ATC, LAT

• Diagnostic Radiology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.