Active NPI
Marlee Corr Hagan, PA-C
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA060334
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4238 - Phone
- (267) 909-6987
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA060334 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
3400 Spruce St
Gates 5023
Philadelphia, PA 19104-4238
Phone (267) 909-6987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 615-5858
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060334 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Abington, PA
- NPI 1770508319
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1679677975
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1386751089
-
- Urology Physician
- Philadelphia, PA
- NPI 1801284823
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1609348598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "GATES 5023",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "267-909-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "267-909-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "MARLEE",
"middle_name": "CORR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA060334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.