Provider Demographics
NPI:1871572297
Name:HAGEMEYER, JAMES ASHLEY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ASHLEY
Last Name:HAGEMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3415 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8314
Mailing Address - Country:US
Mailing Address - Phone:205-936-8007
Mailing Address - Fax:205-871-4646
Practice Address - Street 1:3415 INDEPENDENCE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-8314
Practice Address - Country:US
Practice Address - Phone:205-936-8007
Practice Address - Fax:205-871-4646
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL000189882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51523551OtherBLUE CROSS OF ALABAMA
ALF51951Medicare UPIN
AL051523551HAGMedicare ID - Type Unspecified