Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID SHANE HAGEMANN, PA
ActiveDAVID SHANE HAGEMANN, PA is a Physician Assistant healthcare provider located in ROSEVILLE, California. NPI 1881675619 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSEVILLE, CA
Registration Details
- NPI Number
- 1881675619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.580313868233 yrs)
- Last Updated
- Mar 15, 2023
- License
-
PA147050 (CA)
Practice Information
- Address
-
1412 BLUE OAKS BLVDROSEVILLE, CA, 957477143Browse CA providers · Browse ZIP 95747
- Phone
- 9167847546
- Fax
- 9167847548
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| GARY K HAMM | PA-C | 1861430050 |
| ANTHONY T VENNIK | P.A.-C | 1629018965 |
| FLORITA REYES | PA | 1326068214 |
| TOLYA LASHAWN THOMPSON | P.A-C | 1154343622 |
| GARY DUANE NELSON | P.A-C | 1467474908 |
| LANCE WADE ROSSI | P.A-C | 1629090188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.