DR. BRIAN PATRICK HAGERTY (NPI# 1134201189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134201189 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PATRICK HAGERTY |
| Credential | MD |
| Practice Address |
5301 E Grant Road Tucson Medical Center Emergency Department Tucson AZ 85712-2805 |
| Mailing Address |
5700 E Pima Street Suite B Tucson AZ 85712-5601 |
| Practice Telephone | 5203241922 |
| Practice Fax Number | 5203241088 |
| Mailing Telephone | 5203822819 |
| Mailing Fax Number | 5203822832 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
15402 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 288200-07 | 05 | |
| AZ | AHCCCS | 288200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265320 | Brian D Hagerty | Dietitian, Registered | 123 S 27th St, Billings, MT 59101-4227 | 2018-08-14 |
| Street Address |
5301 E GRANT ROAD TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134201171 | Ronald Joseph Widman | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1508933292 | Charles Lundquist | Specialist/Technologist, Other | 5301 E Grant Road, Tucson, AZ 85712-6115 | 2006-11-29 |
| 1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
| 1538241559 | Bob Thomas Foster | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Deparment, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1720160732 | Tara Selean Alexander | Physician Assistant | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1003998022 | Christopher Scott Florence | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1811079858 | Michelle K B Williams | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1356423438 | Kent Vantuyl Carey | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1427130509 | David Eugene Compton | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| 1154403186 | Keith Ross Kaback | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114009164 | Donald Lee Kane | Pediatrics | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133574 | Cynthia R Copley | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-07-07 |
| 1225328750 | Julie A Augenstein | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-04-18 |
| 1629377890 | Craig Michael Vander Wyst | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-03-27 |
| 1124327499 | Noah David Grams | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-03-25 |
| 1922324037 | Mary Kirkilas | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2010-04-14 |
| 1851613889 | Ana Novilla D Swafford | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2010-02-17 |
| 1730354184 | Jared Thomas Muenzer | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2008-04-28 |
| 1154504652 | Susan S. Lin | Pediatrics | 1919 E Thomas Rd, Bldg. C, Room 2240, Phoenix, AZ 85016-7710 | 2007-12-07 |
| 1598959751 | Justin W. Sales | Pediatrics | 1919 E Thomas Rd, Department of Emergency Medicine, Phoenix, AZ 85016-7710 | 2007-08-30 |
| 1730387564 | Atsuko Koyama | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2007-07-03 |
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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.