MEDICARE: CATHERINE BRIGID HEGARTY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36002846	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480016085	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174526818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE BRIGID HEGARTY DPM

Provider Business Mailing Address
First Line	:	6539 ROYCROFT DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5532
Country	:	US
Telephone Number	:	330-468-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	6539 ROYCROFT DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5532
Country	:	US
Telephone Number	:	330-468-3338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	03/22/2016

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