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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ZACHARY CHANCELLOR HAGERMAN CORPSMAN
NPI 1790751972
Military Health Care Provider in New London, CT

Active since February 27, 2006
15 MOHEGAN AVE, NEW LONDON, CT 06320(860) 701-6999(860) 444-8413 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Chancellor Hagerman Corpsman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY CHANCELLOR HAGERMAN CORPSMAN (NPI 1790751972) is an individual military health care provider provider in New London, Connecticut and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1790751972
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameZACHARY CHANCELLOR HAGERMANCredential: CORPSMAN
Location Address15 MOHEGAN AVENew London, CT 06320-8100
Mailing Address15 Mohegan AveNew London, CT 06320-8100 · (860) 701-6999 · Fax (860) 444-8413
Phone(860) 701-6999
Fax(860) 444-8413
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790751972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
15 MOHEGAN AVE, New London, CT 06320
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT TAYLOR
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
U. S. COAST GUARD ACADEMY
Clinic/Center (Military/U.S. Coast Guard Outpatient)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
MR. BRYAN KEITH ODITT APA-C
Physician Assistant (Medical)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8207
MR. TIMOTHY G WAKSMONSKI
Emergency Medical Technician, Basic
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8408
JASON PHILLIP FARIS HEALTH SERVICES TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
JACQUELINE MICHELLE HARRISON HS
Military Health Care Provider
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
LINDSEY ANN MENDEZ
Dental Assistant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-6999
SCHON C RUSSELL HEALTH SERVICE TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Hagerman's NPI number?

The NPI number for Zachary Hagerman is 1790751972. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Zachary Hagerman located?

Zachary Hagerman practices at 15 Mohegan Ave, New London, CT 06320. The listed phone number is (860) 701-6999.

What is Zachary Hagerman's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Zachary Hagerman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.