Dr. Kenneth D Hagan , MD
Surgery • Jacksonville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Hagan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Hagan, MD was a registered Surgery practicing in Jacksonville, FL. Throughout an active medical career spanning 19 years, Dr. Hagan provided care at the practice location at 3627 UNIVERSITY BLVD S until profile deactivation on 2025-11-27.
Practice Location & Contact Primary Location
3627 University Blvd S
Suite 700
Jacksonville, FL 322164230
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Jacksonville, FL
Practicing in Jacksonville, FL (2030 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Doctor of Nursing Practice, Advanced Practice Registered Nurse
Nurse Practitioner - Acute Care
Advanced Registered Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 27, 2025
NPI status registered as active in NPPES database
Registered at 3627 UNIVERSITY BLVD S, SUITE 700, JACKSONVILLE, FL 322164230 (Tel: 9043995678)
Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)
Recorded as KENNETH HAGAN, M. D.
Surgery (License #ME61915 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
11945 San Jose Blvd, Bldg 300
Jacksonville, FL 322231627
Phone: 9043961725
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