Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas J Hagele

Individual provider Dermatology Physician · NPI 1659638443

Thomas J Hagele is a Dermatology in Newark, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2012, 14 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

1717 W Main St Ste 204
Newark, OH 43055-1362
Phone: (220) 564-7955
Fax: (220) 564-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35.127460 (OH)

Record details

NPI number1659638443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address1717 W Main St Ste 204, Newark, OH 43055-1362

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Newark