David Shane Hagemann in Roseville - Physician Assistant
David Shane Hagemann - NPI 1881675619
David Shane Hagemann is a Physician Assistant in Roseville, California. David Shane Hagemann practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Shane Hagemann is 1881675619. The last update date is 2023-03-15.
David Shane Hagemann's current location address is 1412 Blue Oaks Blvd, Roseville, California. You can contact this provider via phone number 9167847546 and fax number 9167847548. The mailing address for David Shane Hagemann is 1412 Blue Oaks Blvd, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Shane Hagemann |
|---|---|
| Address | 1412 Blue Oaks Blvd, Roseville, California |
| Phone Number | 9167847546 |
| Fax Number | 9167847548 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881675619 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 1412 Blue Oaks Blvd |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 957477143 |
| Phone Number | 9167847546 |
| Fax Number | 9167847548 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA147050 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPA147050 | CA | BLUE SHIELD | |
| OPA147050 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Shane Hagemann by the Centers for Medicare & Medicaid Services?
The David Shane Hagemann has been assigned the NPI (National Provider Identifier) 1881675619. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Shane Hagemann's physical address?
The David Shane Hagemann is physically located at 1412 Blue Oaks Blvd, in the city of Roseville, CA, with the postal code 957477143.
What is David Shane Hagemann's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Shane Hagemann's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the David Shane Hagemann receive its 1881675619?
The David Shane Hagemann was issued its 1881675619 on 2005-11-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to David Shane Hagemann last refreshed?
The information related to the David Shane Hagemann, including its address, specialty, and other relevant details, was last updated on 2023-03-15.
NPI Number: 1720081763
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