STEPHEN HAGGARD (NPI# 1134154032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134154032 |
Entity Type | Individual |
Full Name | STEPHEN HAGGARD |
Credential | DPM PS |
Practice Address |
210 27th Ave Apt F105 Milton WA 98354-8330 |
Mailing Address |
Po Box 506 Milton WA 98354-0506 |
Practice Telephone | 2533345262 |
Practice Fax Number | 2538151651 |
Mailing Telephone | 2536615686 |
Mailing Fax Number | 2538151651 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO00000399 | WA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO00000399 | WA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PTAN | G1000106734 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649487489 | Stephen T Haggard | Social Worker | 330 Town Center Drive, Suite 900, Dearborn, MI 48126 | 2007-05-17 |
Street Address |
210 27TH AVE APT F105 |
City | MILTON |
State | WA |
Zip Code | 98354-8330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513488 | Haggarddpm Home Foot Care LLC | Clinic/Center | 210 27th Ave Apt F105, Milton, WA 98354-8330 | 2019-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427682616 | Heather Church | Massage Therapist | 724 Meridian Ave #1, Milton, WA 98354 | 2020-02-26 |
1134769839 | Chidimma Okoye | Registered Nurse | 7224 Pacific High Way E, Milton, WA 98354 | 2020-01-10 |
1811536717 | Mark Hennecken | Licensed Practical Nurse | 7224 Pacific Hwy E., Milton, WA 98354 | 2019-12-26 |
1609418672 | Erin Kim Lorentzen | Counselor | 7224 Pacific Hwy E, Milton, WA 98354 | 2019-10-11 |
1598306243 | Kelly Jean Murray | Counselor | 7224 Pacific Hwy East, Milton, WA 98354 | 2019-10-03 |
1578025359 | Kiet Do | Counselor | 7224 Pacific Hwy. E, Milton, WA 98354 | 2019-04-02 |
1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
1194178418 | Bryan Vaught | Occupational Therapy Assistant | 2830 Queens Way, Apt E1, Milton, WA 98354 | 2016-07-21 |
1730485459 | Barbara Lyn Bishop | Mechanotherapist | 2411 14th Avenue, Milton, WA 98354 | 2011-01-27 |
1669774865 | Ha T Hoang | Pharmacist | 900 East Meridian, Milton, WA 98354 | 2010-11-22 |
Find all providers in zip 98354 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649708819 | Theresa H.t. Nguyen Pllc | Podiatrist | 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 | 2017-05-31 |
1366749095 | Rapha Clinics, Inc | Podiatrist | 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 | 2011-02-15 |
1568673895 | Victoria Kovacs Penfield | Podiatrist | 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 | 2007-05-25 |
1922122811 | Randall S. Fisher | Podiatrist | 8610 Eastview Ave, Everett, WA 98208-3516 | 2007-03-18 |
1689732588 | Hugh James Gorey Jr. | Podiatrist | 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 | 2006-12-04 |
1265470678 | Broadway Foot & Ankle Ps | Podiatrist | 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 | 2006-06-04 |
1063493559 | Randolph Charles Fish | Podiatrist | 915 So. 76th St., Tacoma, WA 98408-2902 | 2005-11-10 |
1982694501 | Michael Aziz Mishalanie | Podiatrist | 401 S 43rd St, Suite 110, Renton, WA 98055-5404 | 2005-10-25 |
1942206891 | Brent Barker | Podiatrist | 18007 Ne 26th St, Vancouver, WA 98684-0735 | 2005-06-24 |
1720083652 | John Yohan Joo | Podiatrist | 1130 N 185th St, Suite 200, Shoreline, WA 98133-4011 | 2005-06-16 |
Find all providers with the same taxonomy |
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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.