NPI 1487915153 · live from the CMS NPI Registry
Jonathan Taylor Hagen, MD
Orthopaedic Surgery in Zephyr Cove, NV. National Provider Identifier 1487915153, active.
NPI record
| NPI | 1487915153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448 |
| Practice phone | 775-589-8950 |
| Mailing address | 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150 |
| Enumerated | May 30, 2012 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | A148997 (CA) |
| Orthopaedic Surgery primary | 207X00000X | 17021 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.