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NPI Code Detail

MEDICARE: DR. THOMAS JOHN HEGARTY M.D.

MEDICARE:  DR. THOMAS JOHN HEGARTY  M.D.
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
12085R0001XRadiation Oncology PhysicianT-03795KS
22085R0001XRadiation Oncology Physician04-36965KS
32085R0001XRadiation Oncology Physician49536MN

General Provider Information

NPI Number : 1730246463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JOHN HEGARTY M.D.
Provider Business Mailing Address
First Line : 25894 280TH ST
Second Line :
City : RUSHMORE
State : MN
Zip : 56168-5106
Country : US
Telephone Number : 507-329-2933
Fax Number :
Provider Business Practice Location Address
First Line : 204 CLEVELAND ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3563
Country : US
Telephone Number : 620-792-5511
Fax Number : 620-792-5977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 10/10/2024

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