Provider Demographics
NPI:1154512317
Name:BARBARA D HAGEY INC.
Entity Type:Organization
Organization Name:BARBARA D HAGEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-485-8824
Mailing Address - Street 1:3 ROSEMAR CIR
Mailing Address - Street 2:D
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-1263
Mailing Address - Country:US
Mailing Address - Phone:304-485-8824
Mailing Address - Fax:304-485-8834
Practice Address - Street 1:3 ROSEMAR CIR
Practice Address - Street 2:D
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-1263
Practice Address - Country:US
Practice Address - Phone:304-485-8824
Practice Address - Fax:304-485-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV280213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1154512317-001Medicaid
WV1154512317-001Medicaid
WV9321071Medicare PIN