BARRY T HACKSHAW M.D. NPI 1639139983

NPI Information

NPI: 1639139983
Provider Name: BARRY T HACKSHAW, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Address:
39000 BOB HOPE DR
HAL B WALLIS BLDG
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 341-7682
Get Directions

Barry T Hackshaw, M.D. is an interventional cardiology internal medicine in Rancho Mirage, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Barry T Hackshaw, M.D. NPI is 1639139983. 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:

39000 BOB HOPE DR
HAL B WALLIS BLDG
RANCHO MIRAGE, CA
ZIP 92270-221
Phone: (760) 341-7682

The enumeration date for this NPI number is 3/23/2006 and was last updated on 1/6/2015.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	C42563	CALIFORNIA	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	42563	CALIFORNIA	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
1	00C425630	MEDICAID	CALIFORNIA
2	C84246	MEDICARE UPIN	CALIFORNIA
3	00C425630	MEDICARE PIN	CALIFORNIA
4	060019147	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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