DR. CLEMENS E. HAGGERTY


Address: 2333 Highway 17, Iberia, MO 65486-9331
Phone: 5737936900

DR. CLEMENS E. HAGGERTY (NPI# 1952300923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952300923
Entity Type Individual
Full Name DR. CLEMENS E. HAGGERTY
Credential D.O.
Practice Address 2333 Highway 17
Iberia
MO 65486-9331
Mailing Address Po Box 1500
Osage Beach
MO 65065-1500
Practice Telephone 5737936900
Practice Fax Number 5737936688
Enumeration Date 2005-07-20
Last Update Date 2012-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 30307 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE 010052082 01
MO 240891200 05

Office Location

Street Address 2333 HIGHWAY 17
City IBERIA
State MO
Zip Code 65486-9331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841749660 Chelsie Deardeuff Nurse Practitioner 2333 Highway 17, Iberia, MO 65486-9331 2016-09-22
1891018784 Lake Regional Health System Clinic/Center 2333 Highway 17, Iberia, MO 65486-9331 2010-03-05
1164515029 Gary N Thomsen Family Medicine 2333 Highway 17, Iberia, MO 65486-9331 2006-10-02
1104853050 Margaret C Hart Nurse Practitioner 2333 Highway 17, Iberia, MO 65486 2006-06-27
1821097718 Robert E Mason Family Medicine 2333 Highway 17, Iberia, MO 65486-9331 2005-07-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467571968 Carl Sylvester Roberts Jr. Family Medicine 101e Main St, Iberia, MO 65486 2007-03-28
1093058034 Medley Pharmacy Inc. Durable Medical Equipment & Medical Supplies 2322 Hwy 17, Iberia, MO 65486-0000 2013-03-28
1750402194 Iberia R-v School District Local Education Agency (LEA) 201 Pemberton Dr, Iberia, MO 65486-0156 2007-04-03
1922052091 Steven Edwin Reenan Counselor 986 Highway A, Iberia, MO 65486-8242 2006-05-21
1245660182 Kyle Nichols Pharmacist 2322 Highway 17, Iberia, MO 65486-9115 2013-11-13
1700332020 Brian Herzog Music Therapist 451 Tavern Creek Rd, Iberia, MO 65486-9193 2016-08-28
1396367025 Rebekah Joy Carlson Technician 111 Walkin Rd, Iberia, MO 65486-9700 2020-05-15

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1760001598 Md Sarefin Zaman General Practice 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 2020-04-12
1437707551 Home Docs Medical Associates, LLC General Practice 7584 Olive Blvd Ste 204, University City, MO 63130-1600 2019-09-02
1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
1295208403 Sme Kentucky Psc General Practice 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 2019-01-10
1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
1740784214 Bridge Integrative Medicine LLC General Practice 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 2018-03-20
1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
1114427606 Khrystal Robinson General Practice 902 E Reed St, Hayti, MO 63851-1243 2018-02-20
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Competitor

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City IBERIA
Zip Code 65486

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Dataset Information

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.

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