Jeff E. Hagen MD

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

JEFF E. HAGEN MD

Practice address

301 Highway 71 W
Suite 111
Bastrop, TX 78602-4105

Phone

(521) 304-0318

Fax

(512) 308-9649

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeff E Hagen, M.D.

Title

Owner

Phone

(512) 304-0318

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin OBGYN Bastrop Doing business as

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1821434499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "SUITE 111",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "521-304-0318",
            "fax_number": "512-308-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "SUITE 111",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "521-304-0318",
            "fax_number": "512-308-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF E. HAGEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-304-0318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041869104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin OBGYN Bastrop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Aubrey Janik, PHARMD
• Allen Nicholas Jarzombek, MD
• Jason Pomonis
• Jeff E Hagen MD
• Jeff E. Hagen MD
• Jack Johnson
• Miranda Sue Jost Johnson, MSN, APRN, FNP-C
• Steven Johnson, PT
• Jol Home Health Temple LLC
• Candice Ann Jones, OD

• Rural Health Clinic/Center in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.