Physician Compare National (NPI:1952568602)

HEALTHCARE PROVIDER: JOSHUA DENNIS HAGAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952568602
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890959035
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130626000265
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAGAN
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	OCALA HEALTH TRAUMA LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769632850
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	14
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1431 SW 1ST AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	OCALA REGIONAL MEDICAL CENTER
	Group Practice or individual's line 2 address
City	OCALA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	344716500
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3524011000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100212
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARION COMMUNTIY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y