JOHN B HACKERT MD INC NPI 1568677623

NPI Information

  • NPI: 1568677623
  • Provider Name: JOHN B HACKERT MD INC
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Doing Business As: SIERRA COLORECTAL SURGERY, INC
  • Address: 1641 CREEKSIDE DR
    SUITE 201
    FOLSOM, CA
    ZIP 95630
  • Phone: (916) 984-9700

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NPI Details

JOHN B HACKERT MD INC is a colon rectal surgery in Folsom, CA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. JOHN B HACKERT MD INC NPI is 1568677623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sierra Colorectal Surgery, Inc.

The provider's business location address is:

1641 CREEKSIDE DR
SUITE 201
FOLSOM, CA
ZIP 95630-831
Phone: (916) 984-9700

The provider's authorized official is John Bradley Hackert .
The authorized official title is Physician Owner and has the following contact phone number (916) 984-9700.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

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
1208C00000XColon & Rectal SurgeryA82374CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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