Provider Demographics
NPI:1275570343
Name:HAGEY, BARBARA D (DPM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:HAGEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROSEMAR CIR
Mailing Address - Street 2:
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:
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
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV280213E00000X
OH2600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1275570343Medicaid
OHP01442420Medicare PIN
WVP00058495Medicare PIN
OH4085081Medicare PIN
WV0653659Medicare PIN