DR. REBECCA HAGERTY DO NPI 1568463057

NPI Information

  • NPI: 1568463057
  • Provider Name: DR. REBECCA HAGERTY, DO
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 1200 SIXTH ST
    STE 400
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 392-0650

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NPI Details

DR. Rebecca Hagerty, DO is an adult medicine family medicine in Traverse City, MI. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Rebecca Hagerty, DO NPI is 1568463057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 SIXTH ST
STE 400
TRAVERSE CITY, MI
ZIP 49684-369
Phone: (231) 392-0650
Fax: (231) 392-0665

The enumeration date for this NPI number is 8/9/2005 and was last updated on 1/8/2008.

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
1207QA0505XFamily MedicineAdult MedicineRV013390MICHIGANYes

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
10N30860MEDICARE PINMICHIGAN
2G79566MEDICARE UPINMICHIGAN
34989078MEDICAIDMICHIGAN

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: 3/30/2025

NPI Synchronization or Removal

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