Active NPI
Charles L Hageman, MD
- Obstetrics & Gynecology Physician
- Franklin, OH
National Provider Identifier
1790781862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35050018
- Practice address
- 200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200 - Phone
- (513) 424-1440
- Fax
- (513) 424-1422
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35050018 | OH | Primary |
Addresses
Primary practice location
200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200
Mailing address
200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200
Phone (513) 424-1440
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 641549 | Other | OH | AETNA |
| 0705106 | Medicaid | OH | |
| 0720338 | Other | OH | JF MOLLOY |
| 160009444 | Other | OH | MEDICARE RAILROAD |
| T001806 | Other | OH | CHOICE CARE |
| 0720338 | Other | OH | UHC |
| 3152677002 | Other | OH | CIGNA |
| 000000275780 | Other | OH | ANTHEM |
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 |
|---|---|---|---|
| 35050018 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1790781862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 160",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450055200",
"telephone_number": "513-424-1440",
"fax_number": "513-424-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 160",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450055200",
"telephone_number": "513-424-1440",
"fax_number": "513-424-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMAN",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35050018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "641549",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0705106",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JF MOLLOY",
"identifier": "0720338",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160009444",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE",
"identifier": "T001806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0720338",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3152677002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000275780",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.