NPIMap

Individual provider Active NPI

Heather Ann Sagan, P.A.

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1801193370
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4035 Issued in MA
Practice address
305 Belmont St
Worcester State Hospital
Worcester, MA 01604-1681
Phone
(508) 368-3430
Fax
(508) 363-1504
NPI assigned
Feb 18, 2011
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4035 MA Primary

Addresses

Primary practice location

305 Belmont St
Worcester State Hospital
Worcester, MA 01604-1681

Mailing address

305 Belmont St
Worcester State Hospital
Worcester, MA 01604-1681
Phone (508) 368-3430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000347 MA Practitioner - Physician Assistant 0941484265 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulse Primary Care of Massachusetts PLLCGroup PAC ID 9739606732, 5 clinicians

Practice addresses (Care Compare)

299 Carew St
Suite 322
Springfield, MA 01104-2431
Phone (413) 737-2371

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4035MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Center Inc CurrentSince Aug 28, 2016 Accepting new patients
Baystate Medical Center, Inc. CurrentSince Aug 28, 2016 Accepting new patients
Dr. James Haines & Dr. William Belcastro, PTR. Past Accepting new patients
University of Massachusetts Past Accepting new patients
Ipc Hospitalists of New England, P.C. Physician Assistant Past Accepting new patients

Locations

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Organizations & group practices 11

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

Hospital & facility affiliations 10

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1801193370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BELMONT ST",
            "address_2": "WORCESTER STATE HOSPITAL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041681",
            "telephone_number": "508-368-3430",
            "fax_number": "508-363-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BELMONT ST",
            "address_2": "WORCESTER STATE HOSPITAL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041681",
            "telephone_number": "508-368-3430",
            "fax_number": "508-363-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.