Jay Ezra Haggerty
SUBURBAN RADIOLOGIC CONSULTANTS LTD


Address: 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Phone: 9528982333

Jay Ezra Haggerty (NPI# 1861784589, PAC ID# 7012217441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1861784589
PAC ID by PECOS 7012217441
Professional Enrollment ID I20170525001593
Full Name Jay Ezra Haggerty
Organization Legal Name SUBURBAN RADIOLOGIC CONSULTANTS LTD
Address 14000 Nicollet Ave
Suite 204
Burnsville
MN 55337-5796
Phone Number 9528982333
Gender M
Medical School UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2466357272
Number of Group Practice Members 69
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240115 MERCY HOSPITAL
240076 BUFFALO HOSPITAL
240210 HEALTHEAST ST JOHN'S HOSPITAL
240038 ALLINA UNITED HOSPITAL
240088 CARRIS HEALTH LLC

Other Locations

Address Phone Organization
9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 7632365300 ALLINA HEALTH SYSTEM
755 Crossroads Campus Dr Ne, Buffalo, MN 55313-5074 7636846300 ALLINA HEALTH SYSTEM
14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 9528982333 SUBURBAN RADIOLOGIC CONSULTANTS LTD
110 Olsen Blvd Ne, Cokato, MN 55321-4359 3202862123 ALLINA HEALTH SYSTEM
8990 Springbrook Dr Nw, Suite 140, Coon Rapids, MN 55433-5880 7637921900 SUBURBAN IMAGING LLC
9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 7637809155 ALLINA HEALTH SYSTEM
1110 Yankee Doodle Rd, Eagan, MN 55121-2092 6514543970 ALLINA HEALTH SYSTEM
6545 France Ave S, Suite 125, Edina, MN 55435-2357 9524052777 SUBURBAN RADIOLOGIC CONSULTANTS LTD
14181 Business Ctr Dr Nw, Elk River, MN 55330-4654 7632360500 ALLINA HEALTH SYSTEM
1540 Lake St S, Forest Lake, MN 55025-2628 6514647100 ALLINA HEALTH SYSTEM
500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2768 7637866011 ALLINA HEALTH SYSTEM
5565 Blaine Ave, Inver Grove Heights, MN 55076-1238 6512419400 ALLINA HEALTH SYSTEM
12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 7634167888 SUBURBAN IMAGING LLC
1850 Beam Ave, Maplewood, MN 55109-1162 6512419500 ALLINA HEALTH SYSTEM
2215 Park Ave, Minneapolis, MN 55404-3711 6127758927 ALLINA HEALTH SYSTEM
516 Delaware St Se, Minneapolis, MN 55455-0356 6126727422 FAIRVIEW EXPRESS CARE
516 Delaware St Se, Suite 1 302, Minneapolis, MN 55455-0356 6126727422 FAIRVIEW EXPRESS CARE
710 E 24th St, Suite 203, Minneapolis, MN 55404-3810 6127758866 ALLINA HEALTH SYSTEM
717 Delaware St Se, Suite 340, Minneapolis, MN 55414-2959 6126727422 FAIRVIEW EXPRESS CARE
7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 7632360000 ALLINA HEALTH SYSTEM
250 Thompson St, Saint Paul, MN 55102-2370 6512976504 MIDWEST RADIOLOGY PA
4194 Lexington Ave N, Shoreview, MN 55126-6106 6514835461 ALLINA HEALTH SYSTEM
4300 Edgewood Dr Ne, St Michael, MN 55376-4588 7637444000 ALLINA HEALTH SYSTEM
225 Smith Ave N, Suite 300, St Paul, MN 55102-2592 ALLINA HEALTH SYSTEM
1010 Bandana Blvd E, Suite 236, St. Paul, MN 55108-5107 6512419700 ALLINA HEALTH SYSTEM
1155 County Rd E E, Suite 100, Vadnais Heights, MN 55110-5191 6512419200 ALLINA HEALTH SYSTEM
8675 Valley Creek Rd, Woodbury, MN 55125-2337 ALLINA HEALTH SYSTEM

Organization Information

Organization Legal Name SUBURBAN RADIOLOGIC CONSULTANTS LTD
Physicians 65

Physicians with the same organization

Name Specialty Organization Address
Jonathan P Williams Diagnostic Radiology Suburban Radiologic Consultants Ltd 11225 Ulysses St Ne, Suite 110, Blaine, MN 55434-4261
Mark D Mcmillan Diagnostic Radiology Suburban Radiologic Consultants Ltd 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522
Paul Robert Oler Diagnostic Radiology Suburban Radiologic Consultants Ltd 6545 France Ave S, Suite 125, Edina, MN 55435-2357
Mark E Wilson Diagnostic Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Brian F Decesare Interventional Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Jennifer Williams Diagnostic Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Karl T Nelsen Physician Assistant Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
John A Coburn Diagnostic Radiology Suburban Radiologic Consultants Ltd 6545 France Ave S, Suite 125, Edina, MN 55435-2357
David A Asinger Diagnostic Radiology Suburban Radiologic Consultants Ltd 11225 Ulysses St Ne, Suite 110, Blaine, MN 55434-4261
Fareed Siddiqui Interventional Radiology Suburban Radiologic Consultants Ltd 6545 France Ave S, Suite 125, Edina, MN 55435-2357

Office Location

Street Address 14000 NICOLLET AVE
SUITE 204
City BURNSVILLE
State MN
Zip 55337-5796

Physicians in the same location

Name Specialty Organization Address
Whitney S Evans Nurse Practitioner Allina Health System 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5793
Robert J Reese General Surgery 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784
Mark E Wilson Diagnostic Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Cooper C Wriston Dermatology Skin Care Doctors Pa 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784
Michael John Ebertz Dermatology Skin Care Doctors Pa 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784
Briana Marie Rueda Family Medicine Allina Health System 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5793
Matthew Carroll Camp Plastic and Reconstructive Surgery Skin Care Doctors Pa 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784
Brian F Decesare Interventional Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Jennifer Williams Diagnostic Radiology Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
Karl T Nelsen Physician Assistant Suburban Radiologic Consultants Ltd 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796
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Physicians in the same zip code

Name Specialty Organization Address
Hannah M Brooks Physician Assistant Colon and Rectal Surgery Associates Ltd 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337
Marc C Osborne Colorectal Surgery (proctology) Colon and Rectal Surgery Associates Ltd 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337
Matveh Panya Physician Assistant Medical Addiction Treatment Clinic, PC 2414 E 117th St, Burnsville, MN 55337-1269
Thomas Alan Anderson Chiropractic Marty Mcdonald Health Services Pa 2424 E 117th St, Burnsville, MN 55337-1269
Lindsay A Bergstreser Physician Assistant Valley Pain Relief and Wellness Center Pllc 2440 E 117th St, Burnsville, MN 55337-1269
Christine I Lynch Chiropractic Marty Mcdonald Health Services Pa 2424 E 117th St, Burnsville, MN 55337-1269
Stacy X Chang Nurse Practitioner Valley Pain Relief and Wellness Center Pllc 2440 E 117th St, Burnsville, MN 55337-1269
Kristina Marie Fruechtl Chiropractic Marty Mcdonald Health Services Pa 2424 E 117th St, Burnsville, MN 55337-1269
Christina Kern Nurse Practitioner Valley Pain Relief and Wellness Center Pllc 2440 E 117th St, Burnsville, MN 55337-1269
Ashwin V George Addiction Medicine Valley Pain Relief and Wellness Center Pllc 2440 E 117th St, Burnsville, MN 55337-1269
Find all physicians in zip 55337

Competitor

Search similar physicians

City BURNSVILLE
Zip Code 55337
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty BURNSVILLE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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