M Haggerty MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G85149 Issued in CA

Legal business name

M HAGGERTY MD INC

Practice address

1420 N Tracy Blvd
Tracy, CA 95376-3451

Phone

(209) 835-1500

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Mary Haggerty, MDNPI 1881816072

Title

President

Phone

(209) 832-8370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret M Haggerty, MD

  • Anesthesiology Physician
  • Tracy, CA
  • NPI 1881816072
  Authorized official Same address or phone

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801008909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7156",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670156",
            "telephone_number": "209-467-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763451",
            "telephone_number": "209-835-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HAGGERTY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-8370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G85149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.