Active NPI
Thomas Hardy Lagen, MD
- General Practice Physician
- Tacoma, WA
National Provider Identifier
1689899098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00040243
- Practice address
- 1310 S Union Ave
Tacoma, WA 98405-1907 - Phone
- (253) 363-6246
- Fax
- (253) 514-6829
- NPI assigned
- Apr 13, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00040243 | WA | Primary |
Addresses
Primary practice location
1310 S Union Ave
Tacoma, WA 98405-1907
Mailing address
PO Box 1815
Gig Harbor, WA 98335-3815
Phone (253) 363-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00040243 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689899098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1815",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983353815",
"telephone_number": "253-363-6246",
"fax_number": "253-514-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 S UNION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051907",
"telephone_number": "253-363-6246",
"fax_number": "253-514-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGEN",
"first_name": "THOMAS",
"middle_name": "HARDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00040243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.