Carrie A. Hagemann, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-32170 Issued in KS

Practice address

131 W. Market
Suite B
Osage City, KS 66523

Phone

(785) 528-3161

Fax

(785) 528-4045

NPI assigned

Aug 24, 2006

Last updated

Jun 4, 2014By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1780791699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W. MARKET",
            "address_2": "SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "66523",
            "telephone_number": "785-528-3161",
            "fax_number": "785-528-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W. MARKET",
            "address_2": "SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "66523",
            "telephone_number": "785-528-3161",
            "fax_number": "785-528-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMANN",
        "first_name": "CARRIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-32170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "067350",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402620A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David a Jacoby OD Chartered
• Amber Marie Delmott, PHARM D
• Mandy R Gibson, PHARM D
• William J Grace, P.T.
• Patricia Kay Gundy, CPTA
• Stacey Ann Handly, OT
• Matthew R Harmon, D.D.S.
• Robert H Harmon, DDS
• Kylie B Hastings, APRN
• Melissa K Herdman

• Family Medicine Physician in Osage City, KS
• Providers in Osage City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.