Henry Hagenstein, D.O., P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HENRY HAGENSTEIN, D.O., P.C.

Practice address

3635 Genesys Pkwy
Grand Blanc, MI 48439-8067

Phone

(810) 606-0682

Fax

(810) 606-0686

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry Hagenstein, D.O.NPI 1346328226

Title

Owner

Phone

(810) 606-0682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Hagenstein, D.O.

  • Specialist
  • Grand Blanc, MI
  • NPI 1346328226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1740450550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-0682",
            "fax_number": "810-606-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-0682",
            "fax_number": "810-606-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY HAGENSTEIN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "HAGENSTEIN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-606-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111586061",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health Genesys Hospital
• Henry Ford Health Genesys Hospital
• Henry Ford Health Genesys Hospital
• Henry Ford Health Genesys Hospital
• Henry Ford Health Genesys Hospital
• Tammy Lynn Henski
• Amy L Henson, NP
• Melissa Henson
• Nicole A Hering, PA
• Amber Jeanette Hermann

• Health Service Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.