Hagemann, Timothy Wayne
Hagemann, Timothy Wayne is an individual health care provider with primary practice located at 7505 Right Flank Rd Suite 700, Mechanicsville VA 23116-3865. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hagemann, Timothy Wayne can be contacted via phone (804) 559-0405.Contact Information
Primary practice address
7505 Right Flank Rd Suite 700
Mechanicsville VA 23116-3865
Phone: (804) 559-0405
Fax: (804) 559-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101047653 | Virginia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101047653 | Virginia |
Profile Details
| NPI number | 1568489425 |
|---|---|
| LBN Legal business name | Hagemann, Timothy Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Oct 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568489425 | NPPES |
| Virginia | Other | 110928 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 111019 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 27413300 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 276272 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 44222 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 500515 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 110913 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 417755 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 60035367 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 110922 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 276354 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 103860 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 1413328 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 4246878 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | MEDICAID | 6078923 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 56370 | ANTHEM/VA HEALTHKEEPERS |
| Virginia | Other | 25-00128 | ANTHEM/VA HEALTHKEEPERS |
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