Individual provider Active NPI

Cassandra Christine Haggert, DO

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1679100804
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS19406 Issued in FL
Practice address
10707 66TH St N Ste a
Pinellas Park, FL 33782-2353
Phone
(727) 544-8300
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS19406 FL Primary

Addresses

Primary practice location

10707 66TH St N Ste a
Pinellas Park, FL 33782-2353

Mailing address

10707 66TH St N Ste a
Pinellas Park, FL 33782-2353
Phone (727) 544-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230704000114 FL Practitioner - Internal Medicine 0345668299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10707 66TH St N
Suite a
Pinellas Park, FL 33782-2353
Phone (727) 544-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Haggert, DO, PLLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients

Locations

10707 66th St N
Ste A
Pinellas Park, FL 33782
Phone (727) 544-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1679100804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822353",
            "telephone_number": "727-544-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822353",
            "telephone_number": "727-544-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERT",
        "first_name": "CASSANDRA",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS19406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.