Active NPI
Joseph Hagan, MD
- Emergency Medicine Physician
- Claremont, NH
National Provider Identifier
1891733770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9963
- Practice address
- 243 Elm St
Claremont, NH 03743-2005 - Phone
- (781) 585-9522
- Fax
- (781) 585-9544
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 9963 | NH | |
| Emergency Medicine Physician | 207P00000X | 9963 | NH | Primary |
| Family Medicine Physician | 207Q00000X | 9963 | NH |
Addresses
Primary practice location
243 Elm St
Claremont, NH 03743-2005
Mailing address
PO Box 52
Rockland, MA 02370-0052
Phone (781) 585-9522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105606Y0NH01 | Other | NH | NH BLUE CROSS |
| 30011218 | Medicaid | NH | |
| 105-58477 | Other | VT | VT BLUE CROSS |
| ORE4743 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9963 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Hagan, MD | Pain Medicine | Past | Accepting new patients |
| Penobscot Valley Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Claremont, NH
- NPI 1184780306
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1891733770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023700052",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 ELM ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432005",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NH",
"license": "9963",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "9963",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "9963",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BLUE CROSS",
"identifier": "0105606Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011218",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BLUE CROSS",
"identifier": "105-58477",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ORE4743",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.