Active NPI
Patrick George Haggerty, MD
- Infectious Disease Physician
- Norfolk, VA
National Provider Identifier
1184691552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 0101033686
- Practice address
- 825 Fairfax Ave
Suite 572
Norfolk, VA 23507-1914 - Phone
- (757) 446-8999
- Fax
- (757) 446-7922
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 0101033686 | VA | Primary |
Addresses
Primary practice location
825 Fairfax Ave
Suite 572
Norfolk, VA 23507-1914
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-8999
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184691552 | Other | VA | COVENTRY HEALTH CARE |
| 1184691552 | Other | VA | UNITED HEALTHCARE |
| 1184691552 | Other | VA | TRICARE/CHAMPUS |
| 1184691552 | Medicaid | NC | |
| 1184691552 | Other | VA | CORVEL |
| 1184691552 | Other | VA | AETNA |
| 1184691552 | Other | VA | USA MANAGED CARE |
| 1184691552 | Other | VA | CIGNA |
| 1184691552 | Other | VA | ANTHEM BC/BS |
| 1184691552 | Medicaid | VA | |
| 1184691552 | Other | VA | OPTIMA HEALTH |
| 1184691552 | Other | VA | MULTIPLAN |
| 1184691552 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 1184691552 | Other | VA | VIRGINIA HEALTH NETWORK |
| 1184691552 | Other | VA | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1184691552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-8999",
"fax_number": "757-446-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE",
"address_2": "SUITE 572",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-8999",
"fax_number": "757-446-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "PATRICK",
"middle_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101033686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184691552",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "1184691552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1184691552",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.