John Henry Hagmann, M.D.
Individual provider Active NPI Emergency Medicine Physician · Partlow, VA
NPI 1821368564 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1821368564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101226760 (VA)
- Practice address
- 8901 Jor Syd LN
Partlow, VA 22534-9655 - Phone
- (571) 220-8710
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226760 | VA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101226760 | VA | Yes |
Addresses
Primary practice location
8901 Jor Syd LN
Partlow, VA 22534-9655
Mailing address
8901 Jor Syd LN
Partlow, VA 22534-9655
Phone (571) 220-8710
Other providers in Partlow, VA
All providers in Partlow, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.