Michael L Takagi (NPI# 1285844407, PAC ID# 6507950417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285844407 |
| PAC ID by PECOS | 6507950417 |
| Professional Enrollment ID | I20140425000513 |
| Full Name | Michael L Takagi |
| Organization Legal Name | SOUTH GILLIAM COUNTY HEALTH DIST |
| Address |
422 N Main St Condon OR 97823-7651 |
| Phone Number | 5413845055 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204914005 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 422 N Main St, Condon, OR 97823-7651 | 5413845055 | SOUTH GILLIAM COUNTY HEALTH DIST |
| Organization Legal Name | SOUTH GILLIAM COUNTY HEALTH DIST |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Danielle Sperry | Physician Assistant | South Gilliam County Health Dist | 422 N Main St, Condon, OR 97823-7651 |
| Street Address |
422 N MAIN ST |
| City | CONDON |
| State | OR |
| Zip | 97823-7651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Anderson | Optometry | 422 N Main St, Oshkosh, WI 54901-4924 | |
| Mary Chapman | Clinical Social Worker | 422 N Main St, Suite 202, Fall River, MA 02720-2446 | |
| Sarah Danielle Sperry | Physician Assistant | South Gilliam County Health Dist | 422 N Main St, Condon, OR 97823-7651 |
| Jennifer Killenberg | Clinical Social Worker | 422 N Main St, Suite 2, Fall River, MA 02720-2446 |
| City | CONDON |
| Zip Code | 97823 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CONDON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael L Takagi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.