IndividualActive
Phillip Hagan, MD
NPI 1013955053 · Sports Medicine (Orthopaedic Surgery) Physician · Wichita, KS
Provider details
- NPI number
- 1013955053
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-22644 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone: (316) 631-1600
Fax: (316) 631-1676
Approximate (ZIP-level) locationGet directions
Mailing address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.