Phillip F. Hagan
Sports Medicine Orthopaedic Surgeon
2778 N Webb Rd
Wichita
, Kansas 67226-8112
Phillip F. Hagan
Sports Medicine Orthopaedic Surgeon
2778 N Webb Rd
Wichita
, Kansas 67226-8112
(316) 631-1676
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Phillip F. Hagan
- 2778 N Webb Rd
- Wichita, KS
- Zip : 67226-8112
- Fax : (316) 631-1676
- Phone : (316) 631-1600
Second Address
- Phillip F. Hagan
- 2778 N Webb Rd
- Wichita, KS
- Zip : 67226-8112
- Fax : (316) 631-1676
- Phone : (316) 631-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 04-22644 | KS |
National Provider Identifier
| NPI | 1013955053 |
|---|---|
| Provider Name | Phillip F. Hagan |
| First Address | Wichita, KS 67226-8112 |
| Second Address | Wichita, KS 67226-8112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 27/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00S6749 | PREFERRED HEALTH SYSTEMS (01) | KS |
| 103800 | BLUE SHIELD (01) | KS |
| 200265750A | (05) | KS |
| 359811 | FIRST GUARD (01) | KS |
| F30992 | (02) | |
| P00158947 | RR MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.