Active NPIIndividual provider

Michael J Bagin, PA

Physician Assistant in Lebanon, New Hampshire

NPI Number1730616806
Practice location
1 Medical Center Dr, Lebanon, NH 03756
Fax
—
Last updated
November 5, 2024

Michael James Bagin is a Physician Assistant based in Lebanon, NH. Michael James Bagin practices in Lebanon, NH and has the professional credentials of PA. The NPI Number for Michael James Bagin is 1730616806 and holds a License No. 1499 (NH). The current practice location address for Michael James Bagin is 1 Medical Center Dr, Lebanon, NH 03756 and can be reached out via phone at 603-650-7254.

Provider Profile Details

NPI Number
1730616806
Provider Name
Michael James Bagin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Lebanon, NH 03756
Phone Number
603-650-7254
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2017
Last Update Date
November 5, 2024
Certification Date
November 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756
Zip
03756
Phone Number
603-650-7254
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-0001
City
Lebanon
State
NH
Zip
03756-0001
Phone Number
603-650-7254

License Information

License Number (1)
1499
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
4080-23
License State (2)
WI
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael J Bagin, PA?

The NPI number of Michael J Bagin, PA is 1730616806. It was assigned on May 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Michael J Bagin, PA?

Michael J Bagin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 1499.

Where does Michael J Bagin, PA practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756. The office can be reached at 603-650-7254 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730616806 directly on the NPPES registry website.

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