Organization Active NPI

Hagen ENT Clinic Apmc

Doing business as hagen-beyer ent clinic

  • Otolaryngology Physician
  • Houma, LA
National Provider Identifier
1942421052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5CS73 Issued in LA
Legal business name
HAGEN ENT CLINIC APMC
Doing business as
hagen-beyer ent clinic
Practice address
505 Dunn Street
Houma, LA 70360
Phone
(985) 872-0423
Fax
(985) 872-6600
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David L Hagen, M.D.NPI 1972725521
Title
Pres
Phone
(985) 872-0423

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5CS73 LA Primary

Addresses

Primary practice location

505 Dunn Street
Houma, LA 70360

Mailing address

P.O. Box 66
Houma, LA 70361-0066
Phone (985) 872-0423

Other names 1

  • hagen-beyer ent clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051227000621 LA Part B Supplier - Clinic/Group Practice 2163444654 Receives reassigned benefits from 4 practitioners
Practice locations: Houma, LA; Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

441 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8429

1125 Audubon Ave
Thibodaux, LA 70301
Phone (985) 448-1030

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942421052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 66",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703610066",
            "telephone_number": "985-872-0423",
            "fax_number": "985-872-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DUNN STREET",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-872-0423",
            "fax_number": "985-872-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN ENT CLINIC APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "985-872-0423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "5CS73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hagen-beyer ent clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.