TYLER K. HAGAN DPM PLLC NPI 1720489818

NPI Information

NPI: 1720489818
Provider Name: TYLER K. HAGAN, DPM, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
612A MCCARTHY BLVD
NEW BERN, NC
ZIP 28562
Phone: (252) 633-3400
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TYLER K. HAGAN, DPM, PLLC is a foot and ankle surgery podiatrist in New Bern, NC. TYLER K. HAGAN, DPM, PLLC NPI is 1720489818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612A MCCARTHY BLVD
NEW BERN, NC
ZIP 28562-231
Phone: (252) 633-3400
Fax: (252) 633-9338

The provider's authorized official is Tyler K Hagan .
The authorized official title is Sole Member and has the following contact phone number (252) 633-3400.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 12/4/2014.

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	213E00000X	Podiatrist		617	NORTH CAROLINA	No
2	213ES0131X	Podiatrist	Foot Surgery	617	NORTH CAROLINA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	617	NORTH CAROLINA	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	7238750001	MEDICARE NSC	NORTH CAROLINA
2	1588955231	OTHER	NORTH CAROLINA	INDIVIDUAL NPI

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: 5/5/2024

NPI Synchronization or Removal

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