- Practice location
- 2999 Mcmackin RD, Madison, OH 44057-2330
- Phone
- 440-428-1111
- Fax
- —
- Last updated
- June 6, 2022
Kristyn Emily Heagerty is a Physician Assistant based in Madison, OH. Kristyn Emily Heagerty practices in Madison, OH and has the professional credentials of PA. The NPI Number for Kristyn Emily Heagerty is 1972057396 and holds a License No. 50.004808RX (OH). The current practice location address for Kristyn Emily Heagerty is 2999 Mcmackin RD, Madison, OH 44057-2330 and can be reached out via phone at 440-428-1111.
Provider Profile Details
- NPI Number
- 1972057396
- Provider Name
- Kristyn Emily Heagerty
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2999 Mcmackin RD, Madison, OH 44057-2330
- Phone Number
- 440-428-1111
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2016
- Last Update Date
- June 6, 2022
- Certification Date
- June 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2999 Mcmackin RD
Madison, OH 44057-2330 - City
- Madison
- State
- Ohio
- Zip
- 44057-2330
- Phone Number
- 440-428-1111
Provider Business Mailing Address Details
- Address
- 307 S Evergreen Ave
Woodbury, NJ 08096-2739 - City
- Woodbury
- State
- NJ
- Zip
- 08096-2739
- Phone Number
- 856-686-4306
License Information
- License Number (1)
- 50.004808RX
- License State (1)
- OH
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 50.004808RX
- License State (3)
- OH
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Madison, OH
View all Physician Assistants in Madison →Frequently Asked Questions
What is the NPI number of Kristyn E Heagerty, PA?
The NPI number of Kristyn E Heagerty, PA is 1972057396. It was assigned on August 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Kristyn E Heagerty, PA?
Kristyn E Heagerty, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OH under license number 50.004808RX.
Where does Kristyn E Heagerty, PA practice?
The practice location is 2999 Mcmackin RD, Madison, OH 44057-2330. The office can be reached at 440-428-1111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972057396 directly on the NPPES registry website.