Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 0101040796 | VA |
Y | 2086S0105X | Surgery of the Hand | 0101040796 | VA |
NPI | 1891772257 |
---|---|
Provider Name | Dr. Hugh Johnson Hagan III |
First Address | Roanoke, VA 24014-1111 |
Second Address | Roanoke, VA 24014-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 28/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1891772257 | (05) | VA |
1891772257 | AETNA (01) | VA |
1891772257 | ANTHEM (01) | VA |
1891772257 | CIGNA (01) | VA |
1891772257 | GATEWAY (01) | VA |
1891772257 | HEALTHKEEPERS (01) | VA |
1891772257 | HEALTHKEEPERS PLUS (01) | VA |
1891772257 | HUMANA MEDICARE (01) | VA |
1891772257 | INTOTAL (01) | VA |
1891772257 | MEDICAID OF NORTH CAROLINA (01) | VA |
1891772257 | OPTIMA HEALTH PLAN (01) | VA |
1891772257 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY (01) | VA |
1891772257 | UMWA (01) | VA |
1891772257 | UNITED HEALTHCARE (01) | VA |
1891772257 | VA PREMIER (01) | VA |
1891772257 | VIRGINIA HEALTH NETWORK (01) | VA |
371194700 | BLACK LUNG (01) | VA |
3810018724 | MEDICAID OF WEST VIRGINIA (01) | VA |
540506332115 | TRICARE (01) | VA |
P00834690 | RAILROAD MEDICARE (01) | VA |