IndividualActive
Jonathan Hagen, MD
NPI 1487915153 · Orthopaedic Surgery Physician · Zephyr Cove, NV
Provider details
- NPI number
- 1487915153
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A148997 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
212 Elks Point Rd Ste 200
Zephyr Cove, NV 89448-8001
Phone: (775) 589-8950
Fax: (775) 588-1299
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Additional practice locations (2)
- 1139 3rd StSouth Lake Tahoe, CA 96150-3465Phone: (530) 543-5554Fax: (530) 541-3016
- 935 Mica Dr Ste 13Carson City, NV 89705-7181Phone: (775) 783-3065Fax: (775) 267-1829
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.