Katherine C Haggerty (NPI# 1700947769, PAC ID# 7911954425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700947769 |
| PAC ID by PECOS | 7911954425 |
| Professional Enrollment ID | I20050406001174 |
| Full Name | Katherine C Haggerty |
| Organization Legal Name | DIRECT ACCESS INTERNAL MEDICINE LTD |
| Address |
6609 Main St Gloucester VA 23061-5194 |
| Phone Number | 8048249153 |
| Gender | F |
| Credential | NP |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456538545 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490130 | RIVERSIDE WALTER REED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6609 Main St, Gloucester, VA 23061-5194 | 8048249153 | DIRECT ACCESS INTERNAL MEDICINE LTD |
| 7519 Hospital Dr, Gloucester, VA 23061-4178 | 8046938800 | RIVERSIDE PHYSICIAN SERVICES INC |
| Organization Legal Name | DIRECT ACCESS INTERNAL MEDICINE LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald D Haggerty | Internal Medicine | Direct Access Internal Medicine Ltd | 6609 Main St, Gloucester, VA 23061-5194 |
| Lauri B Lebel | Nurse Practitioner | Direct Access Internal Medicine Ltd | 6609 Main St, Gloucester, VA 23061-5194 |
| Street Address |
6609 MAIN ST |
| City | GLOUCESTER |
| State | VA |
| Zip | 23061-5194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald D Haggerty | Internal Medicine | Direct Access Internal Medicine Ltd | 6609 Main St, Gloucester, VA 23061-5194 |
| Lauri B Lebel | Nurse Practitioner | Direct Access Internal Medicine Ltd | 6609 Main St, Gloucester, VA 23061-5194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Muffelman | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-0693 | |
| Layton W Merithew | Chiropractic | 6091 George Washington Memorial Hwy, Gloucester, VA 23061-3750 | |
| Wayne J Reynolds | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Suite 210, Gloucester, VA 23061-3782 |
| Richard A. Hoefer | General Surgery | Sentara Medical Group | 5659 Pkwy Dr, Suite 100, Gloucester, VA 23061-3782 |
| Paula K Figgs | Physician Assistant | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael E Landis | Vascular Surgery | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Bonnie J Brooks | Internal Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John A Kirk | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Robert M Kowalewski | Rheumatology | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Abay T Taddesse | Hospitalist | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Find all physicians in zip 23061 | |||
| City | GLOUCESTER |
| Zip Code | 23061 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLOUCESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katherine C Haggerty.
| 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.