DR. MICHAEL TERRENCE HEGSTROM (NPI# 1952330128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952330128 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TERRENCE HEGSTROM |
| Credential | MD |
| Practice Address |
132 Abigail Lane Port Matilda PA 16870 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 8142725011 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD444655 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 21695 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001358 | 05 |
| Street Address |
132 ABIGAIL LANE |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627242 | Mona D Duncan | Surgery | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2005-05-23 |
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1235620428 | Jessica Erin Park | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1306125190 | Hithem Rahmi | Orthopaedic Surgery | 132 Abigail Lane, Port Matilda, PA 16870 | 2011-08-10 |
| 1336441039 | Universal Community Behavioral Health Inc | Clinic/Center | 132 Abigail Lane, Port Matilda, PA 16870 | 2010-12-01 |
| 1235457003 | Crystal Michele Duffy | Pediatrics | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2010-05-04 |
| 1881847150 | Elizabeth Anne Royer | Physician Assistant | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2008-10-30 |
| 1083874770 | Geisinger Clinic | Nurse Practitioner | 132 Abigail Lane, Port Matilda, PA 16870 | 2008-06-16 |
| 1144422783 | Sabrina Kum Whitehurst | Obstetrics & Gynecology | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2007-06-05 |
| 1386855781 | Sufana Zafar | Pediatrics | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732717 | St. Joseph Institute | Substance Abuse Rehabilitation Facility | 134 Jacobs Way, Port Matilda, PA 16870 | 2010-06-04 |
| 1548444268 | Georgianna M Achilles | Psychologist | 454 Rolling Ridge Dr., Port Matilda, PA 16870 | 2007-12-18 |
| 1497803605 | Paul Hughes | Dentist | 101 Briar Court, Port Matilda, PA 16870 | 2007-01-08 |
| 1992896237 | Patrick A. Jarvie | Pediatrics | Geisinger Pediatrics, 132 Abigail Lane, Port Matilda, PA 16870 | 2006-09-28 |
| 1316948011 | Port Matilda Emergency Medical Services | Ambulance | 402 S High St, Port Matilda, PA 16870 | 2005-08-03 |
| 1023556677 | Shahida Fareed | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870 | 2017-02-03 |
| 1326410622 | Nickol Marie Cleary | Physical Therapist | 785 E Mountain Rd, Port Matilda, PA 16870 | 2015-10-26 |
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1487949467 | Trevor Sherrick Smith | Family Medicine | 132 Abigail Ln, Port Matilda, PA 16870 | 2011-06-17 |
| 1063634863 | Kathryn K Eisenhuth | Pediatrics | 132 Abigail Ln, Port Matilda, PA 16870 | 2007-05-02 |
| Find all providers in zip 16870 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962797050 | Skytop Surgical LLC | Surgery | 168 Skytop Ln, Port Matilda, PA 16870-7104 | 2011-06-16 |
| 1184627242 | Mona D Duncan | Surgery | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2005-05-23 |
| 1699713818 | Chunjie Yang | Surgery | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2006-06-02 |
| 1013981711 | Mark E. Armstrong | Surgery | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | PORT MATILDA |
| Zip Code | 16870 |
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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.