Provider Demographics
NPI:1134243512
Name:HECTOR C. PAGAN, M.D., P.C.
Entity type:Organization
Organization Name:HECTOR C. PAGAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-774-0327
Mailing Address - Street 1:3153 BRODHEAD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-1370
Mailing Address - Country:US
Mailing Address - Phone:724-774-0327
Mailing Address - Fax:724-774-1998
Practice Address - Street 1:3153 BRODHEAD RD
Practice Address - Street 2:SUITE B
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1370
Practice Address - Country:US
Practice Address - Phone:724-774-0327
Practice Address - Fax:724-774-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033197E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07307OtherBLUE CROSS BLUE SHIELD
PA130710OtherHIGHMARK
FL07307OtherBLUE CROSS BLUE SHIELD
PA130710OtherHIGHMARK
PA904270Medicare PIN