Individual
DR. TIMOTHY WAYNE HAGEMANN
Active
Individual
DR. TIMOTHY WAYNE HAGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101047653
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101047653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103860
ANTHEM/VA HEALTHKEEPERS
VA
01
—
110913
ANTHEM/VA HEALTHKEEPERS
VA
01
—
110922
ANTHEM/VA HEALTHKEEPERS
VA
01
—
110928
ANTHEM/VA HEALTHKEEPERS
VA
01
—
111019
ANTHEM/VA HEALTHKEEPERS
VA
01
—
1413328
CIGNA
VA
01
—
25-00128
UNITED HEALTHCARE
VA
01
—
27413300
FEDERAL BLACK LUNG
VA
01
—
276272
ANTHEM/VA HEALTHKEEPERS
VA
01
—
276354
ANTHEM/VA HEALTHKEEPERS
VA
01
—
417755
MAMSI
VA
01
—
4246878
AETNA/US HEALTHCARE
VA
01
—
44222
SENTARA HEALTH/OPTIMA
VA
01
—
500515
AETNA/US HEALTHCARE HMO
VA
01
—
56370
SOUTHERN HEALTH SERVICES
VA
01
—
60035367
RAILROAD MEDICARE
VA
05
—
6078923
—
VA
Enumeration date
07/16/2006
Last updated
10/30/2020
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