Leslie Hagan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME14334 Issued in FL

Practice address

1541 SW 1St Ave
Sutie 105
Ocala, FL 34471-6532

Phone

(352) 622-8152

Fax

(352) 622-4408

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1710923156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 NW HIGHWAY 225",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344821859",
            "telephone_number": "352-351-2280",
            "fax_number": "352-351-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 SW 1ST AVE",
            "address_2": "SUTIE 105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716532",
            "telephone_number": "352-622-8152",
            "fax_number": "352-622-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME14334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Habit Project Physical and Occupational Therapy
• Ayme Ruth Hadascok, CAP
• Amanda Muntaser Haddad, PHARMD
• Mack Evans Haddock, CRNA
• Donald J Hagan, MD
• Melanie S Hagan, ARNP
• Lauren Ashley Hager
• Darlene Latrice Hagins, RN
• Mario Hagins
• Benjamin Jin Hahn, A.P.

• General Practice Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.