Provider Demographics
NPI:1194916247
Name:BARBARA D HAGEY INC
Entity type:Organization
Organization Name:BARBARA D HAGEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:304-485-8824
Mailing Address - Street 1:3 ROSEMAR CIR
Mailing Address - Street 2:SUITE 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:
Practice Address - Street 1:1915 HILL ST
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1240
Practice Address - Country:US
Practice Address - Phone:304-485-8824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0145022Medicaid
OH9321072Medicare PIN
OH0145022Medicaid