Joseph N Hagen, DO
Internal Medicine in Bingham Farms, MI. Individual provider (NPI-1).
NPI number1811989650
StatusActive
Last updated in NPPESAug 15, 2016
Details
- NPI
- 1811989650
- Entity type
- Individual (NPI-1)
- Name
- Joseph N Hagen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2005
- Last updated
- Aug 15, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Nov 20, 2024 (1128a1)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 5101012230 | MI | Yes |
Practice location
31500 Telegraph RdSuite 150
Bingham Farms, MI 48025-4367
Phone 248-593-0575 · Fax 877-402-0518
Mailing address
31500 Telegraph RdSuite 150
Bingham Farms, MI 48025-4313
Phone 248-593-0575 · Fax 877-402-0581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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