Active NPI
Elizabeth Hagen, MD
- Pediatrics Physician
- Brecksville, OH
National Provider Identifier
1780764910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35076353H
- Practice address
- 6909 Royalton Rd Ste 304
Brecksville, OH 44141-2478 - Phone
- (216) 383-0100
- Fax
- (216) 383-6481
- NPI assigned
- Oct 16, 2006
- Last updated
- Dec 18, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35076353H | OH | Primary |
Addresses
Primary practice location
6909 Royalton Rd Ste 304
Brecksville, OH 44141-2478
Mailing address
PO Box 901599
Cleveland, OH 44190-1599
Phone (216) 383-6480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ElizabethHAgen@uhps.allscriptsdirect.net |
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 |
|---|---|---|---|
| 35076353H | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
| University Primary Care Practices Inc | Pediatrics | Past | Accepting new patients |
| University Primary Care Practices Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ehagen37581@ehrdirect.uhhospitals.org
- elizabethhagen@uhps.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- NPI 1982727087
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1780764910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 901599",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441901599",
"telephone_number": "216-383-6480",
"fax_number": "216-383-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 ROYALTON RD STE 304",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412478",
"telephone_number": "216-383-0100",
"fax_number": "216-383-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35076353H",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ElizabethHAgen@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "18181 Pearl Rd Ste A200",
"city": "Strongsville",
"state": "OH",
"country_code": "US",
"postal_code": "441366953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.