Organization Active NPI

Scott F Hage OD

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
National Provider Identifier
1770753576
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TUV0044181 Issued in NY
Legal business name
SCOTT F HAGE OD
Practice address
240 Riverside Dr
Suite One
Johnson City, NY 13790-2732
Phone
(607) 729-2102
Fax
(607) 729-2034
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Scott F Hage, OD
Title
Owner
Phone
(607) 729-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TUV0044181 NY Primary

Addresses

Primary practice location

240 Riverside Dr
Suite One
Johnson City, NY 13790-2732

Mailing address

240 Riverside Dr
Suite One
Johnson City, NY 13790-2732
Phone (607) 729-2102

National Provider Directory

National Provider Directory

Locations

240 Riverside Dr
Ste One
Johnson City, NY 13790
Phone (607) 729-2102

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1770753576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "address_2": "SUITE ONE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-729-2102",
            "fax_number": "607-729-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "address_2": "SUITE ONE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-729-2102",
            "fax_number": "607-729-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT F HAGE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-729-2102",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "TUV0044181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.