Active NPI
Patrick James O'Hagan, PA-C
- Medical Physician Assistant
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 4100 Park Forest Dr
Traverse City, MI 49684 - Phone
- (231) 935-5710
- Fax
- (231) 935-6081
- NPI assigned
- Sep 30, 2019
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4100 Park Forest Dr
Traverse City, MI 49684
Mailing address
1105 Sixth St
Traverse City, MI 49684-2386
Phone (231) 935-5710
Other practice location 1
1535 Gull Rd Ste 105
Kalamazoo, MI 49048-1630
Phone (269) 385-9900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KGH-DHC@direct.kalamazoogastro.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
1121 6TH St
Suite 316
Traverse City, MI 49684-2345
Phone (231) 392-8280
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000
4100 Park Forest Dr
Suite 208
Traverse City, MI 49684-7306
Phone (231) 935-5710
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Kalkaska Memorial Health Center
- Paul Oliver Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
3770 Capital Ave SW
Ste C
Battle Creek, MI 49015
Phone (269) 441-1755
1535 Gull Rd
Ste 105
Kalamazoo, MI 49048
Phone (616) 381-1433
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
4100 Park Forest Dr
Ste 208
Traverse City, MI 49684
Phone (231) 392-8705
Organizations & group practices 9
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Portage, MI
- NPI 1538299631
-
- Obstetrics & Gynecology Physician
- Traverse City, MI
- NPI 1689276412
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1679114847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842386",
"telephone_number": "231-935-5710",
"fax_number": "231-935-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 PARK FOREST DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-935-5710",
"fax_number": "231-935-6081"
}
],
"practiceLocations": [
{
"address_1": "1535 Gull Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490481630",
"country_code": "US",
"telephone_number": "269-385-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'HAGAN",
"first_name": "PATRICK",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KGH-DHC@direct.kalamazoogastro.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1535 Gull Rd Ste 105",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490481630",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.