Corey J. Haggard (NPI# 1053452151, PAC ID# 9234229519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053452151 |
| PAC ID by PECOS | 9234229519 |
| Professional Enrollment ID | I20110412000811 |
| Full Name | Corey J. Haggard |
| Organization Legal Name | GREAT PLAINS ANESTHESIA |
| Address |
4601 50th St Suite 112 Lubbock TX 79414-3514 |
| Phone Number | 8067858000 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 8022166297 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450876 | LUBBOCK HEART HOSPITAL LP |
| Address | Phone | Organization |
|---|---|---|
| 4601 50th St, Suite 112, Lubbock, TX 79414-3514 | 8067858000 | GREAT PLAINS ANESTHESIA |
| Organization Legal Name | GREAT PLAINS ANESTHESIA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Michael Danchak | Anesthesiology | Great Plains Anesthesia | 4601 50th St, Suite 112, Lubbock, TX 79414-3514 |
| Stefanus R Tjia | Anesthesiology | Great Plains Anesthesia | 4601 50th St, Suite 112, Lubbock, TX 79414-3514 |
| Street Address |
4601 50TH ST SUITE 112 |
| City | LUBBOCK |
| State | TX |
| Zip | 79414-3514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Michael Danchak | Anesthesiology | Great Plains Anesthesia | 4601 50th St, Suite 112, Lubbock, TX 79414-3514 |
| Stefanus R Tjia | Anesthesiology | Great Plains Anesthesia | 4601 50th St, Suite 112, Lubbock, TX 79414-3514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette A Young | Chiropractic | 5313 50th St, A2, Lubbock, TX 79414-1878 | |
| Michael J Ratheal | Psychologist, Clinical | 5502 58th St, Suite 600, Lubbock, TX 79414-2087 | |
| David C Ivey | Psychologist, Clinical | 5502 58th St, Suite 600, Lubbock, TX 79414-2087 | |
| Charles W Keller | Psychologist, Clinical | 5502 58th St, Suite 600, Lubbock, TX 79414-2087 | |
| Vanessa Albina Coca-lyle | Psychologist, Clinical | 5502 58th St, Suite 600, Lubbock, TX 79414-2087 | |
| Jane Westmoreland | Clinical Psychologist | 5502 58th St, Suite 600, Lubbock, TX 79414-2087 | |
| Jeffrey N Colvin | Anesthesiology | 4642 N Loop, 289 Suite 209, Lubbock, TX 79414-2425 | |
| Greg N Hogan | Optometry | 4825 50th St, Unit D, Lubbock, TX 79414-3417 | |
| Rebecca Fant | Nurse Practitioner | Umc Physicians | 6002 Slide Rd, D24, Lubbock, TX 79414-4310 |
| Honey Michelle Smith | Nurse Practitioner | Umc Physicians | 6002 Slide Rd, D24, Lubbock, TX 79414-4310 |
| Find all physicians in zip 79414 | |||
| City | LUBBOCK |
| Zip Code | 79414 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LUBBOCK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Corey J. Haggard.
| 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.