Individual
DR. JONATHAN TAYLOR HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 ELKS POINT RD STE 200, ZEPHYR COVE, NV 89448-8001
(775) 589-8950
(775) 588-1299
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17021
NV
207X00000X
Orthopaedic Surgery Physician
A148997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445860A
—
OK
Enumeration date
05/30/2012
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us