DR. TRACY ELIZABETH HAGERTY (NPI# 1073722674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073722674 |
| Entity Type | Individual |
| Full Name | DR. TRACY ELIZABETH HAGERTY |
| Credential | M.D. |
| Practice Address |
725 North St Pittsfield MA 01201-4109 |
| Practice Telephone | 4134472000 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
042-0014691 | VT | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A49513 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
A49513 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Colchester Ave, Burlington, VT 054011473 | 8028470000 | |
| 62 Tilley Dr Ste 101, South Burlington, VT 054034407 | 8028474600 | |
| 1941 Johnson Ave Ste 102, San Luis Obispo, CA 934014174 | 8055405847 | 8055405827 |
| 310 S Halcyon Rd Ste 105, Arroyo Grande, CA 934203863 | 8057828844 | 8057828859 |
| 295 Posada Ln Ste A, Templeton, CA 934654055 | 8057828844 | 8057828859 |
| Street Address |
725 NORTH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151188 | Sushil K Seth | Anesthesiology | 725 North St, Pittsfield, MA 01201-4132 | 2005-08-19 |
| 1174137798 | Laura Elizabeth Hardy | Nurse Anesthetist, Certified Registered | 725 North St, Pittsfield, MA 01201-4124 | 2020-09-01 |
| 1265045421 | Jessica Dawicki | Dietitian, Registered | 725 North St, Pittsfield, MA 01201-4109 | 2020-08-27 |
| 1174135263 | Manita Chapagain | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4124 | 2020-08-19 |
| 1245841840 | Katlyn Rowe | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2020-08-17 |
| 1215546999 | Satya Sailaja Bindu Gandrapu Balanaga | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4124 | 2020-07-28 |
| 1063039808 | Chelsea Carey | Dentist | 725 North St, Pittsfield, MA 01201-4109 | 2020-06-27 |
| 1679102263 | Kevin Christopher Kennedy | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4109 | 2020-04-06 |
| 1922637909 | Chiamaka Onah | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4124 | 2020-04-02 |
| 1073142030 | Bejamin Seth Bernard | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4124 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1669662706 | Georgianne M Valli-harwood | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2007-07-25 |
| 1770792673 | Berkshire Care Inc | Internal Medicine | 276 South St, Pittsfield, MA 01201-6835 | 2007-05-21 |
| 1073685210 | Thomas A Mcnulty | Internal Medicine | 276 South St, Pittsfield, MA 01201-6835 | 2006-11-14 |
| 1427137637 | Ellis M Fribush | Internal Medicine | 510 North St, Pittsfield, MA 01201 | 2006-11-06 |
| 1326143652 | Andrew S. Potash | Internal Medicine | 777 North St, Bfs Cardiology, Pittsfield, MA 01201-4147 | 2006-09-13 |
| 1063467603 | David R Finck | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-23 |
| 1407800402 | Jeffrey A Leppo | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-22 |
| 1316991318 | Martin Ivan Broder | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2006-05-22 |
| 1679526834 | Philip Bhark | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-18 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on DR. TRACY ELIZABETH HAGERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.