Active NPI
Rodney Steven Hagerman, DO, MPH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- OP60656371
- Practice address
- 9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502 - Phone
- (360) 621-3300
- Fax
- (361) 782-3345
- NPI assigned
- Feb 9, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP60656371 | WA | |
| Family Medicine Physician | 207Q00000X | 48635 | GA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | OP60656371 | WA | Primary |
Addresses
Primary practice location
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 621-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068567 | Medicaid | WA | |
| 00900226B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48635 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Alpha MD LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Family Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275
20730 Bond Rd NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-1957
9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- rodney.hagerman@tdc.directbygreenway.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1821870601
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1750833844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831162940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-621-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-621-3300",
"fax_number": "361-782-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGERMAN",
"first_name": "RODNEY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2023-03-07",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60656371",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "48635",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WA",
"license": "OP60656371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2068567",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00900226B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.