DR. PATRICK CHARLES HAGGERTY (NPI# 1275645707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275645707 |
| Entity Type | Individual |
| Full Name | DR. PATRICK CHARLES HAGGERTY |
| Credential | DDS, MSCD |
| Practice Address |
3700 Stutz Dr Suite 1 Canfield OH 44406-8194 |
| Practice Telephone | 3307020373 |
| Practice Fax Number | 3307020375 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
30.012239 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245280841 | Patrick Joseph Haggerty IIi | Obstetrics & Gynecology | 9834 Genesee Ave, Suite 120, La Jolla, CA 92037-1223 | 2006-05-12 |
| 1184691552 | Patrick George Haggerty | Internal Medicine | 825 Fairfax Ave, Suite 572, Norfolk, VA 23507-1914 | 2006-03-03 |
| Street Address |
3700 STUTZ DR SUITE 1 |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245288844 | Lawrence Edward Mccall | Dentist | 3700 Stutz Dr, 3700 Dental Arts Bldg Ste 3, Canfield, OH 44406-8194 | 2006-05-05 |
| 1386665610 | Amber Layne Ausnehmer | Dentist | 3700 Stutz Dr, Suite 2, Canfield, OH 44406 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790713 | Russell E. Hudoba | Dentist | 6674 Tippecanoe Rd, Ste 5, Canfield, OH 44406-9149 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334136 | Nerea Robles-leyzaola | Dentist | 154 E Oakland Ave, Columbus, OH 43201-1209 | 2020-07-27 |
| 1801419866 | Morgan & Lemke Dds Ms Inc | Dentist | 6505 Rockside Rd Ste 310, Independence, OH 44131-2386 | 2020-05-26 |
| 1639724438 | Vinayak Joshi | Dentist | 4103 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210-1267 | 2019-08-08 |
| 1306408687 | Newark Periodontics LLC | Dentist | 843 N 21st St Ste 102a, Newark, OH 43055-7274 | 2019-07-08 |
| 1386201101 | Fred O Sakamoto Dds, Inc | Dentist | 7334 E Broad St Ste B, Blacklick, OH 43004-9239 | 2019-05-28 |
| 1972098432 | Ying Wang | Dentist | 305 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-27 |
| 1982128773 | Periodontics of Toledo | Dentist | 223 W. Crawford, Findlay, OH 45840 | 2017-08-02 |
| 1831545854 | Griselle Ortiz-ramsey Dmd and Associates | Dentist | 1569 Mckaig Ave, Troy, OH 45373-4904 | 2016-05-09 |
| 1225406622 | Alexandra Seal | Dentist | 4646 Nantuckett Dr Ste A, Toledo, OH 43623-3194 | 2015-09-02 |
| 1437551603 | Peter Nader Nessim Amin | Dentist | 7081 Pearl Rd, Middleburg Heights, OH 44130-4940 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.