Theresa Hagans (NPI# 1063996890, PAC ID# 9133465065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063996890 |
| PAC ID by PECOS | 9133465065 |
| Professional Enrollment ID | I20190114000978 |
| Full Name | Theresa Hagans |
| Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
| Address |
1656 Champlin Ave New Hartford NY 13413-1068 |
| Phone Number | 3156246000 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769380252 |
| Number of Group Practice Members | 149 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1656 Champlin Ave, New Hartford, NY 13413-1068 | 3156246000 | FAXTON - ST LUKES HEALTHCARE |
| Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary-jane Elizabeth Borst | Nurse Practitioner | Faxton - St Lukes Healthcare | 3946 Oneida St, New Hartford, NY 13413-9702 |
| Alyssia M Lloyd | Nurse Practitioner | Faxton - St Lukes Healthcare | 2888 Oneida St, Sauquoit, NY 13456-3110 |
| Irena Kokot | Family Medicine | Faxton - St Lukes Healthcare | 8411 Seneca Tpke, New Hartford Medical Office, New Hartford, NY 13413-4912 |
| Jonathan D Wigderson | Orthopedic Surgery | Faxton - St Lukes Healthcare | 1903 Sunset Ave, Utica, NY 13502-5617 |
| Adam F Seigers | Family Medicine | Faxton - St Lukes Healthcare | 13460 State Route 12, Boonville, NY 13309-3531 |
| Mario Carrillo | Vascular Surgery | Faxton - St Lukes Healthcare | 1676 Sunset Ave, Utica, NY 13502-5416 |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| John Sperling | General Surgery | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| David P Petrie | Family Medicine | Faxton - St Lukes Healthcare | 358 Madison St, Waterville, NY 13480-1116 |
| Street Address |
1656 CHAMPLIN AVE |
| City | NEW HARTFORD |
| State | NY |
| Zip | 13413-1068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Sperling | General Surgery | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Julie L Gorczynski | Physician Assistant | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| John A Pylman | Family Medicine | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Michael Nofri | Certified Registered Nurse Anesthetist (crna) | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Philip Cox | Physician Assistant | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Chelsea L Seamon | Physician Assistant | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Michael Piazza | Certified Registered Nurse Anesthetist (crna) | Sunset Anesthesia Associates LLP | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Sean M Murphy | Physician Assistant | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Ellen Karwacki | Nurse Practitioner | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Karna T Sura | Radiation Oncology | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayal D Raja | Endocrinology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Michael J Mcnulty | Pain Management | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Suzanne W Buschor | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Radaranys Brea | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Pony Nancy Sokiri | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Celesta M Hunsiker | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| David Nicholas Campola Jr. | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Adnan Cemer | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Stephanie Marie Calenzo | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Tami L Harris | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Find all physicians in zip 13413 | |||
| City | NEW HARTFORD |
| Zip Code | 13413 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW HARTFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theresa Hagans.
| 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.