1578881561 NPI number — WAYNE T HAGERMAN OD PC

Table of content: (NPI 1578881561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578881561 NPI number — WAYNE T HAGERMAN OD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WAYNE T HAGERMAN OD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578881561
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 KATLIAN ST STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SITKA
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99835-7314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-747-6644
Provider Business Mailing Address Fax Number:
907-747-4990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 KATLIAN ST STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SITKA
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99835-7314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-747-6644
Provider Business Practice Location Address Fax Number:
907-747-4990
Provider Enumeration Date:
05/14/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RYAN
Authorized Official First Name:
GRETA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CLERK
Authorized Official Telephone Number:
907-747-6644

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  AK055 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: OP0055 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: AK55 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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