Phillip F. Hagan in Wichita - Sports Medicine

Phillip F. Hagan - NPI 1013955053

Phillip F. Hagan is a Sports Medicine in Wichita, Kansas. Phillip F. Hagan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Phillip F. Hagan is 1013955053. The last update date is 2023-10-18.

Phillip F. Hagan's current location address is 9828 E Shannon Woods Cir # 100, Wichita, Kansas. You can contact this provider via phone number 3166311600 and fax number 3166311676. The mailing address for Phillip F. Hagan is 9828 E Shannon Woods Cir # 100, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip F. Hagan
Address 9828 E Shannon Woods Cir # 100, Wichita, Kansas
Phone Number 3166311600
Fax Number 3166311676
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013955053
Provider Enumeration Date 2006-06-03
Last Updated Date 2023-10-18

Provider Mailing Address Detail

Address 9828 E Shannon Woods Cir # 100
City Wichita
State Kansas (KS)
Post Code 672264100
Phone Number 3166311600
Fax Number 3166311676

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 04-22644
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103800 KS BLUE SHIELD
200265750A KS --
359811 KS FIRST GUARD
P00158947 RR MEDICARE
00S6749 KS PREFERRED HEALTH SYSTEMS

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FAQs about Phillip F. Hagan

What is the Phillip F. Hagan's 1013955053?

The Phillip F. Hagan's NPI (National Provider Identifier) Number is 1013955053. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Phillip F. Hagan is physically located?

The Phillip F. Hagan is physically situated at the following address: 9828 E Shannon Woods Cir # 100, Wichita, KS, 672264100.

What is Phillip F. Hagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Phillip F. Hagan is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013955053 to Phillip F. Hagan?

The Centers for Medicare & Medicaid Services originally issued the 1013955053 to Phillip F. Hagan on 2006-06-03.

When was the Phillip F. Hagan's information last updated?

The Phillip F. Hagan's information was last updated on 2023-10-18.

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