Active NPI
Mark Estes Haggerty, D.O.
- Family Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102204457
- Practice address
- 2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613 - Phone
- (757) 395-1300
- NPI assigned
- Apr 1, 2014
- Last updated
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102204457 | VA | Primary |
| Family Medicine Physician | 207Q00000X | T63256393 | VA |
Addresses
Primary practice location
2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Mailing address
2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Phone (757) 395-1300
Other practice location 1
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2859 Virginia Beach Blvd
Suite 101
Virginia Beach, VA 23452-7613
Phone (757) 388-5680
Hospital & facility affiliations
- Sentara Home Care Services-Virginia Beach
- Sentara Virginia Beach General Hospital
- Sentara Princess Anne Hospital
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Sentara Obici Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T63256393 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Family Medicine | Current | Accepting new patients |
Locations
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
301 Riverview Ave
Ste 202
Norfolk, VA 23510
Phone (757) 252-9015
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2859 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 340-4901
2859 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23452
Phone (757) 388-5680
2859 Virginia Beach Blvd
Ste 120
Virginia Beach, VA 23452
Interoperability endpoints
- mhaggerty69995@direct.sentara.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chesapeake, VA
- NPI 1710425152
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1821416496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2859 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527613",
"telephone_number": "757-395-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527613",
"telephone_number": "757-395-1300"
}
],
"practiceLocations": [
{
"address_1": "3636 High St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237073236",
"country_code": "US",
"telephone_number": "757-398-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGGERTY",
"first_name": "MARK",
"middle_name": "ESTES",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102204457",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "T63256393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.