Jillian Renee Hagerman
D.O. | Pediatrics | Female
Jillian Renee Hagerman, D.O. is a Tampa, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jillian Renee Hagerman is
17 Davis Blvd Ste 308, Tampa, Florida - 33606-3438. She can be contacted on phone at
813-259-8725 and fax number 813-259-8792.
Jillian Renee Hagerman is a sole proprietor of her business.
NPI number (Unique professional ID) for Jillian Renee Hagerman is
1194111237 which was assigned by NPPES on 14 Apr, 2015 and it was last updated on 01 Aug, 2022.
Jillian Renee Hagerman license number is
OP60954917 for Pediatrics (208000000X) in Washington.
Jillian Renee Hagerman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jillian Renee Hagerman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jillian Renee Hagerman |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Jillian Renee Hagerman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 17 Davis Blvd Ste 308
Tampa, FL, 33606-3438
United States |
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| Phone Number : | 813-259-8725 |
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| Fax Number : | 813-259-8792 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194111237 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Apr, 2015 |
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| Last Updated On : | 01 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jillian Renee Hagerman are as mentioned. Primary taxonomy code for Jillian Renee Hagerman, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | OS15373 | FL |
| 208000000X | Pediatrics | Yes | OP60954917 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Jillian Renee Hagerman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100088500 | MEDICAID | FL | |
| 52225 | Other | FL | BLUE CROSS BLUE SHIELD |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
209 MARTIN LUTHER KING JR WAY,
TACOMA, WA, 98405-4265
United States | TACOMA, WA | 253-596-3300 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 209 MARTIN LUTHER KING JR WAY,
TACOMA, WA, 98405-4265
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 209 Martin Luther King Jr Way
Tacoma, WA, 98405-4265
United States |
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| Phone Number : | 253-596-3300 |
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| Fax Number : | 253-596-3301 |
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Business Location:
Patients can refer following map for directions to
Jillian Renee Hagerman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.