Mark Hagerty (NPI# 1518410794, PAC ID# 0042507675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518410794 |
| PAC ID by PECOS | 0042507675 |
| Professional Enrollment ID | I20160927000014 |
| Full Name | Mark Hagerty |
| Organization Legal Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Address |
2901 W Touhy Ave Chicago IL 60645-2937 |
| Phone Number | 7739737350 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991600405 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140018 | MT SINAI HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2901 W Touhy Ave, Chicago, IL 60645-2937 | 7739737350 | MOUNT SINAI COMMUNITY FOUNDATION |
| Organization Legal Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Argentine | Nurse Practitioner | Mount Sinai Community Foundation | 6084 S Archer Ave, Chicago, IL 60638-2747 |
| Amanda L Dick | Clinical Social Worker | Mount Sinai Community Foundation | 2653 W Ogden Ave, ', Chicago, IL 60608-1647 |
| Dennys Omar Vera Daner | Family Medicine | Mount Sinai Community Foundation | 3109 W Armitage Ave, Chicago, IL 60647-3818 |
| Sharad Koirala | Psychiatry | Mount Sinai Community Foundation | California Ave At 15th St, ', Chicago, IL 60608-1858 |
| Elizabeth J Kelly | Nurse Practitioner | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Karen M Williams | Nurse Practitioner | Mount Sinai Community Foundation | 5050 S State St, Chicago, IL 60609-5302 |
| Amar P Shah | Diagnostic Radiology | Mount Sinai Community Foundation | 2720 W 15th St Fl, 2 ', Chicago, IL 60608-1610 |
| Nancy A Sibigtroth | Radiation Oncology | Mount Sinai Community Foundation | 1401 S California Ave, Chicago, IL 60608-1858 |
| Ezekiel Sakyiama | Internal Medicine | Mount Sinai Community Foundation | 3857 W Washington Blvd, Chicago, IL 60624-2342 |
| Jill A Reda | Certified Registered Nurse Anesthetist (crna) | Mount Sinai Community Foundation | 1859 S Blue Island Ave, Chicago, IL 60608-3012 |
| Street Address |
2901 W TOUHY AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60645-2937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet B Miller | Physical Therapy | 7414 N Fairfield Ave, Chicago, IL 60645-1315 | |
| Tincy Poovathur | Nurse Practitioner | Advocate Health and Hospitals Corporation | 7510 N Western Ave, Chicago, IL 60645-1511 |
| Julia L Robbin | Nurse Practitioner | Advocate Health and Hospitals Corporation | 7510 N Western Ave, Chicago, IL 60645-1511 |
| Henry S Kurzydlowski | Pain Management | 7200 N Western Ave, Chicago, IL 60645-1812 | |
| Inna L Golber | Psychiatry | 7033 N Kedzie Ave, Suite 815, Chicago, IL 60645-2816 | |
| Michael D Schwarcz | Podiatry | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | |
| Leonard Levitt | Dermatology | 2946 W Lunt Ave, Chicago, IL 60645-2920 | |
| James P Clancy | Family Medicine | 2306 W Touhy Ave, C1, Chicago, IL 60645-3414 | |
| Trangdai V Hoang-tran | Optometry | 7018 N Western Ave, Chicago, IL 60645-3416 | |
| Lea L Sevier | Psychologist, Clinical | 2007 W Greenleaf Ave, Chicago, IL 60645-3509 | |
| Find all physicians in zip 60645 | |||
| City | CHICAGO |
| Zip Code | 60645 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHICAGO + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.