=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598605230
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KATHERINE HAGMANN, DPM LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2026
-----------------------------------------------------
Last Update Date | 03/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9393 N 90TH ST STE 108B
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85258-5041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-977-3668
-----------------------------------------------------
Fax | 928-223-5776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9393 N 90TH ST STE 108B
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85258-5041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-977-3668
-----------------------------------------------------
Fax | 928-223-5776
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER MEMBER-MANAGED
-----------------------------------------------------
Name | KATHERINE ALTA HAGMANN
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 951-977-3668
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------