TRACY A HAGAN (NPI# 1265585954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265585954 |
| Entity Type | Individual |
| Full Name | TRACY A HAGAN |
| Credential | PA |
| Practice Address |
400 Holiday Dr Pittsburgh PA 15220-2727 |
| Mailing Address |
15 Green Oak Ln Pittsburgh PA 15220-2017 |
| Practice Telephone | 4124440098 |
| Practice Fax Number | 4124440111 |
| Mailing Telephone | 4126706389 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA001523L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124306261 | Tracy Cole Hagan | Dentist | 7930 Frost St, Suite 101, San Diego, CA 92123-2737 | 2011-07-22 |
| 1558324715 | Tracy R Hagan | Nurse Practitioner | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2006-04-10 |
| Street Address |
400 HOLIDAY DR |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15220-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881655447 | Erin E Defazio | Physician Assistant | 400 Holiday Dr, Suite 101, Pittsburgh, PA 15220-2727 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770066565 | Ellen Gross | Music Therapist | 750 Holiday Drive, Suie 110, Foster Plaza #9, Pittsburgh, PA 15220 | 2018-09-08 |
| 1487162251 | Sonya Lynn Rymarchyk | Registered Nurse | 736 Robinwood Drive, Pittsburgh, PA 15220 | 2018-01-16 |
| 1982087094 | Elon Mwaura | Physician Assistant | 400- T5 Camelot Ct, Pittsburgh, PA 15220 | 2015-07-07 |
| 1790053718 | Western Pennsylvania Health System | General Acute Care Hospital | 934 Chathma Park Drive, Pittsburgh, PA 15220 | 2011-12-05 |
| 1174808398 | Internal Medicine | Non-Pharmacy Dispensing Site | 24 Doctors Lane, 201, Pittsburgh, PA 15220 | 2011-10-19 |
| 1861787004 | Casey Lynn Callender | Counselor | 68 Wabash Street, Pittsburgh, PA 15220 | 2011-06-16 |
| 1891023719 | Arlyn D. Wasco | Nurse Practitioner | Evergreen Heights Drive, Suite 312, Pittsburgh, PA 15220 | 2009-12-04 |
| 1598980807 | Christine Ramos Dario | Counselor | 1705 Maple Street, Suite B3, Homestead, PA 15220 | 2007-04-13 |
| 1538282322 | Sulochana Pradhan | Pathology | 875 Greentree Rd 4 Parkway Ctr, Quest Diagnostics, Pittsburgh, PA 15220 | 2007-04-09 |
| 1811015316 | Edward Molyneaux | Physical Therapist | 179 Arla Dr, Pittsburgh, PA 15220 | 2007-03-26 |
| Find all providers in zip 15220 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1518335033 | Maggie Duer | Physician Assistant | 300 Halket St Ste 1601, Pittsburgh, PA 15213-3108 | 2015-09-15 |
| 1316333057 | Tamara Lea Moritz | Physician Assistant | 6604 Northumberland St, Pittsburgh, PA 15217-1313 | 2015-04-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15220 |
Please comment or provide details below to improve the information on TRACY A HAGAN.
| 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.