WALT A KAGAN M.D. NPI 1114909298

NPI Information

NPI: 1114909298
Provider Name: WALT A KAGAN, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
10 WILLARD ST
QUINCY, MA
ZIP 02169
Phone: (617) 479-1437
Get Directions

Walt A Kagan, M.D. is a hematology and oncology internal medicine in Quincy, MA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Walt A Kagan, M.D. NPI is 1114909298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 WILLARD ST
QUINCY, MA
ZIP 02169-281
Phone: (617) 479-1437
Fax: (617) 479-3500

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	45805	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45805	OTHER	MASSACHUSETTS	TUFTS HEALTH CARE
2	21722	OTHER	MASSACHUSETTS	AETNA US HEALTH
3	0151505	MEDICAID	MASSACHUSETTS
4	B20028501	OTHER	MASSACHUSETTS	CIGNA
5	A36672	MEDICARE UPIN	MASSACHUSETTS
6	B49039	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
7	B49039	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
8	66033	OTHER	MASSACHUSETTS	HARVARD PILGRIM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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