Tyler K Hagan
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
612a Mccarthy Blvd
New Bern
, North Carolina 28562-5231
Tyler K Hagan
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
612a Mccarthy Blvd
New Bern
, North Carolina 28562-5231
(252) 633-9338
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Tyler K Hagan
- 612a Mccarthy Blvd
- New Bern, NC
- Zip : 28562-5231
- Fax : (252) 633-9338
- Phone : (252) 633-3400
Second Address
- Tyler K Hagan
- 612a Mccarthy Blvd
- New Bern, NC
- Zip : 28562-5231
- Fax : (252) 633-9338
- Phone : (252) 633-3400
Reviews
FAQs
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Is Tyler K Hagan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | 617 | NC |
| Y | 213ES0103X | Foot & Ankle Surgery | 617 | NC |
| N | 213ES0131X | Foot Surgery | 617 | NC |
National Provider Identifier
| NPI | 1588955231 |
|---|---|
| Provider Name | Tyler K Hagan |
| First Address | New Bern, NC 28562-5231 |
| Second Address | New Bern, NC 28562-5231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2011 |
| Last Update Date | 17/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1457601601 | GROUP NPI (01) | NC |
| 1588955231 | INDIVIDUAL NPI (01) | NC |
| 1720489818 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.