Organization Active NPI

Jeff E Hagen MD

Doing business as Austin OB/Gyn

  • Obstetrics Physician
  • Elgin, TX
National Provider Identifier
1871833301
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G3424 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Jeff E Hagen, M.D.NPI 1710965488
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00FN79OtherTXBLUE CROSS
041869104MedicaidTX

Other names 1

  • Austin OB/Gyn Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin OBGYN2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.