Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Anthony O'Hagan, PA

Individual provider Medical Physician Assistant · NPI 1346579448

Michael Anthony O'Hagan, PA is a Physician Assistant in Watertown, New York. Qualified in 2009, 17 years ago. Practices with Jill M Laureano Surber DO PC, a 3-clinician group. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170
Phone: (315) 755-2560
Fax: (315) 257-6610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013717 (NY)

Record details

NPI number1346579448
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2009
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Jill M Laureano Surber Do Pc — 3 clinicians
Accepts Medicare assignment Not indicated

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