Active NPI
Jeff E Hagen MD
Doing business as Austin OB/Gyn
- Obstetrics Physician
- Elgin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G3424
- Legal business name
- JEFF E HAGEN MD
- Doing business as
- Austin OB/Gyn
- Practice address
- 18810 Hwy 290 E
Suite 100
Elgin, TX 78621-4240 - Phone
- (512) 285-3300
- Fax
- (512) 308-9649
- NPI assigned
- Feb 20, 2013
- Last updated
- Feb 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff E Hagen, M.D.
- Title
- Owner
- Phone
- (512) 304-0318
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | G3424 | TX | Primary |
Addresses
Primary practice location
18810 Hwy 290 E
Suite 100
Elgin, TX 78621-4240
Mailing address
301 Highway 71 W
Suite111
Bastrop, TX 78602-4105
Phone (512) 308-0318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00FN79 | Other | TX | BLUE CROSS |
| 041869104 | Medicaid | TX |
Other names 1
- Austin OB/Gyn
National Provider Directory
National Provider Directory- Tax ID family
- Austin OBGYN
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
18810 Highway 290 E
Ste 100
Elgin, TX 78621
Phone (512) 285-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1871833301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HIGHWAY 71 W",
"address_2": "SUITE111",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024105",
"telephone_number": "512-308-0318",
"fax_number": "512-308-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18810 HWY 290 E",
"address_2": "SUITE 100",
"city": "ELGIN",
"state": "TX",
"postal_code": "786214240",
"telephone_number": "512-285-3300",
"fax_number": "512-308-9649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF E HAGEN MD",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"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_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "G3424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00FN79",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041869104",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin OB/Gyn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elgin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.