Active NPI 1659638443 Individual Practitioner Male Practitioner

Thomas J Hagele

Dermatology • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Hagele is a certified Dermatology practicing in Newark, OH. With approximately 14 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2012, Thomas Hagele delivers high-quality medical care to the local community at 1717 W MAIN ST STE 204.

Thomas Hagele is affiliated with Licking Memorial Health Professionals and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 W Main St Ste 204

Newark, OH 430551362

Telephone 2205647955

Fax 2205648956

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Newark, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -17.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Newark, OH (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hagele (14 Years) 14 Yrs

Newark Specialty Average (31.5 Years) 31.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,102	192	$19.00	$1.91
99213 Established patient office or other outpatient visit, typically 15 minutes	704	478	$116.00	$62.56
17000 Destruction of skin growth	394	273	$102.00	$50.04
11102 Tangential biopsy of single skin lesion	228	190	$152.00	$27.92
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	141	103	$542.00	$316.26
11103 Biopsy of related skin growth, each additional growth	89	53	$82.00	$20.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$169.00	$75.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	71	$70.00	$33.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	53	$170.00	$91.43
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	58	39	$289.00	$178.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	44	39	$460.00	$142.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	39	$363.00	$122.51
17110 Destruction of up to 14 skin growths	34	27	$172.00	$64.32
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$104.00	$45.29
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	25	22	$188.00	$36.79
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	16	$169.00	$66.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$328.00	$176.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$206.00	$91.97
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	16	16	$367.00	$113.87
69100 Biopsy of ear	15	14	$131.00	$32.30
17004 Destruction of precancer skin growth, 15 or more growths	14	13	$278.00	$93.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$258.00	$127.43
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$346.00	$100.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,147	196	$21.98	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	612	444	$137.71	$86.74
17000 Destruction of skin growth	414	296	$106.93	$53.50
11102 Tangential biopsy of single skin lesion	245	201	$153.97	$91.19
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	121	93	$1000.10	$552.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	93	$86.00	$53.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$171.00	$108.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	77	$195.00	$123.79
11103 Biopsy of related skin growth, each additional growth	68	48	$82.00	$47.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	52	40	$601.50	$385.89
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$111.00	$67.14
17110 Destruction of up to 14 skin growths	46	42	$172.00	$105.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	41	$455.89	$234.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	39	35	$770.15	$217.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	35	29	$188.00	$99.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	26	$222.00	$132.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	14	$15.00	$1.08
17004 Destruction of precancer skin growth, 15 or more growths	26	20	$318.00	$161.94
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	22	15	$956.00	$569.01
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	16	$270.00	$154.61
69100 Biopsy of ear	19	18	$149.00	$73.17
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$472.00	$205.07
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1491.57	$955.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$258.00	$161.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$422.00	$134.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	825	141	$22.00	$6.36
99213 Established patient office or other outpatient visit, typically 15 minutes	571	399	$138.00	$87.24
17000 Destruction of skin growth	305	221	$107.00	$54.35
11102 Tangential biopsy of single skin lesion	169	148	$154.00	$92.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	104	$86.00	$54.40
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	87	72	$1024.00	$572.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$171.00	$109.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$195.00	$121.14
11103 Biopsy of related skin growth, each additional growth	56	32	$82.00	$48.91
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$111.00	$69.40
17110 Destruction of up to 14 skin growths	47	44	$172.00	$106.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	38	$458.00	$231.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	39	31	$613.00	$389.98
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	26	22	$188.00	$104.17
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$796.00	$228.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	12	$15.00	$1.15
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	15	$956.00	$524.45
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$222.00	$137.22
17004 Destruction of precancer skin growth, 15 or more growths	17	13	$318.00	$161.25
69100 Biopsy of ear	16	14	$149.00	$69.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$370.00	$119.17
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	12	$480.00	$176.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$258.00	$162.74
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$210.00	$121.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	873	148	$22.00	$6.01
99213 Established patient office or other outpatient visit, typically 15 minutes	609	415	$128.98	$88.18
17000 Destruction of skin growth	301	215	$106.32	$51.77
11102 Tangential biopsy of single skin lesion	184	157	$152.00	$95.15
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	85	69	$1024.00	$606.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	53	$182.23	$126.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	61	$81.00	$53.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$160.87	$107.06
11103 Biopsy of related skin growth, each additional growth	54	40	$82.00	$50.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	32	$440.71	$262.45
17110 Destruction of up to 14 skin growths	41	38	$164.78	$105.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	16	$15.00	$1.28
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	38	30	$188.00	$99.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	35	28	$600.00	$394.90
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$104.86	$69.19
17004 Destruction of precancer skin growth, 15 or more growths	32	24	$318.00	$159.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$243.50	$164.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	19	$352.13	$120.04
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	19	$209.29	$136.29
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$202.35	$133.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	13	$254.60	$149.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$796.00	$233.08
11900 Injection into skin growth, 1-7 growths	14	12	$80.14	$46.68
69100 Biopsy of ear	14	13	$149.00	$71.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	899	165	$22.00	$5.73
99213 Established patient office or other outpatient visit, typically 15 minutes	495	352	$102.00	$72.13
17000 Destruction of skin growth	321	231	$102.48	$50.92
11102 Tangential biopsy of single skin lesion	199	166	$152.00	$90.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	114	$151.00	$104.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$152.00	$104.85
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	87	73	$1024.00	$554.85
11103 Biopsy of related skin growth, each additional growth	81	52	$82.00	$51.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	17	$15.00	$1.46
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$104.00	$74.01
17110 Destruction of up to 14 skin growths	40	38	$169.00	$102.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	37	30	$600.00	$384.61
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	35	31	$177.54	$107.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	31	$415.00	$242.10
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	28	$193.00	$125.23
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	23	$796.00	$253.48
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	20	$235.00	$167.48
17004 Destruction of precancer skin growth, 15 or more growths	20	16	$318.00	$153.25
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	18	$154.00	$72.26
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$152.00	$132.06
69100 Biopsy of ear	15	15	$149.00	$79.53
11104 Punch biopsy, first skin growth	11	11	$191.00	$110.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$61.00	$44.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	739	165	$22.00	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	483	323	$102.00	$71.20
17000 Destruction of skin growth	314	225	$107.00	$49.11
11102 Tangential biopsy of single skin lesion	234	199	$152.00	$85.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	124	$151.00	$104.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$152.00	$104.42
11103 Biopsy of related skin growth, each additional growth	126	74	$82.00	$50.86
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	118	87	$1024.00	$567.97
99202 New patient office or other outpatient visit, typically 20 minutes	112	112	$104.00	$72.27
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	80	49	$600.00	$380.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	75	28	$15.00	$1.57
17110 Destruction of up to 14 skin growths	56	42	$148.00	$98.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	46	41	$127.00	$102.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	37	$415.00	$240.58
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	36	29	$193.00	$112.37
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	33	29	$152.00	$124.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	33	30	$796.00	$232.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	18	$235.00	$131.98
11900 Injection into skin growth, 1-7 growths	28	19	$77.00	$47.70
69100 Biopsy of ear	24	20	$149.00	$80.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$61.00	$43.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$329.00	$134.76
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$241.00	$149.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	380	100	$22.00	$5.03
99213 Established patient office or other outpatient visit, typically 15 minutes	348	227	$102.00	$69.44
11100 Biopsy of single growth of skin and/or tissue	304	255	$140.00	$96.50
17000 Destruction of skin growth	213	163	$107.00	$48.03
11101 Biopsy of each additional growth of skin and/or tissue	172	103	$62.00	$31.61
99202 New patient office or other outpatient visit, typically 20 minutes	165	165	$104.00	$71.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$152.00	$103.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	76	$151.00	$102.22
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	66	56	$1024.00	$570.24
17110 Destruction of up to 14 skin growths	37	37	$148.00	$103.11
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	36	27	$600.00	$370.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	16	$15.00	$1.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$61.00	$41.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	29	$415.00	$242.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	23	$235.00	$136.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	21	$796.00	$228.38
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	15	$193.00	$101.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	14	$375.00	$147.36
11900 Injection into skin growth, 1-7 growths	15	13	$77.00	$46.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$329.00	$137.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	317	71	$22.00	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	296	187	$102.00	$69.65
11100 Biopsy of single growth of skin and/or tissue	202	160	$140.00	$91.96
17000 Destruction of skin growth	154	111	$107.00	$49.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$152.00	$103.74
11101 Biopsy of each additional growth of skin and/or tissue	111	70	$62.00	$31.53
99202 New patient office or other outpatient visit, typically 20 minutes	99	99	$104.00	$70.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	70	$61.00	$41.46
17110 Destruction of up to 14 skin growths	28	22	$148.00	$104.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$151.00	$102.96
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	21	17	$1024.00	$494.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	16	$796.00	$326.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$235.00	$150.77
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	13	$193.00	$111.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$415.00	$251.57
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$127.00	$76.03

Medical Specialties & State Licenses

CMS Verified: 2021-03-18

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 35.127460

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Licking Memorial Health Professionals

36 Mcmillen Dr, Newark, OH 430551809

Phone: 2205644270

Licking Memorial Health Professionals

88 Mcmillen Dr, Newark, OH 430551809

Phone: 2205644270

Licking Memorial Health Professionals

120 Mcmillen Dr, Newark, OH 430551809

Phone: 2205644806

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location August 30, 2019

Registered at 1717 W MAIN ST STE 204, NEWARK, OH 430551362 (Tel: 2205647955)

📍

Updated Business Mailing Address August 30, 2019

Registered at 1717 W MAIN ST STE 204, NEWARK, OH 430551362 (Tel: 2205647955)

✅

NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2017

Registered at 1272 W MAIN ST STE 206, NEWARK, OH 430552060 (Tel: 2205647955)

📍

Updated Business Mailing Address August 28, 2017

Registered at 1272 WEST MAIN ST, SUITE 206, NEWARK, OH 43055 (Tel: 2205647955)

👤

Provider Name / Credentials Updated August 28, 2017

Recorded as THOMAS HAGELE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Dermatology (License #35.127460 in OH)

✅

NPI Profile Active August 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2016

Registered at 120 MCMILLEN DR, NEWARK, OH 43055 (Tel: 2205647955)

📍

Updated Business Mailing Address August 19, 2016

Registered at 120 MCMILLEN DR, NEWARK, OH 43055 (Tel: 2205647955)

👤

Provider Name / Credentials Updated August 19, 2016

Recorded as THOMAS HAGELE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2016

Dermatology (License #35.127460 in OH)

🟢

Initial NPI Registration & Enumeration April 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659638443

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 18, 2012

Last Update: March 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1717 W Main St Ste 204

Newark, OH 430551362

Phone: 2205647955

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