MICHAEL R HAAG, DPM, ATC, LLC NPI 1083847644

Clinic/Center (Podiatric) in Wilmington, DE

About MICHAEL R HAAG, DPM, ATC, LLC

Michael R Haag, Dpm, Atc, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1083847644. The practitioner's primary taxonomy code is Clinic/Center (261QP1100X). The provider is registered as an organization and their NPI record was last updated 8 years ago.

NPI

1083847644

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMICHAEL R HAAG, DPM, ATC, LLC
Provider Location Address5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-31-2009 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-20-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QP1100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPodiatric
License No.E1-0000189
License StateDE

Business Address

MICHAEL R HAAG, DPM, ATC, LLC
5311 LIMESTONE RD
SUITE 203
WILMINGTON, DE
ZIP 19808
Phone: (302) 234-3907
Fax: (302) 234-3927

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Mailing Address

MICHAEL R HAAG, DPM, ATC, LLC
5311 LIMESTONE RD
SUITE 203
WILMINGTON, DE
ZIP 19808
Phone: (302) 234-3907
Fax: (302) 234-3927

Authorized Official

Authorized Official NameDR. MICHAEL RALPH HAAG DPM Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePODIATRIST
Authorized Official Phone(856) 885-0866

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6400810001MEDICARE NSC (07)

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033441209DELAWARE SLEEP DISORDER CENTERS, LLC
Organization
Sleep Specialist, PhD5311 LIMESTONE RD SUITE 205
WILMINGTON, DE 19808
(887) 335-7533
1144292103MRS. SUZANNE S SHARP TOWNSEND NP
Individual
Nurse Practitioner5311 LIMESTONE RD STE 201
WILMINGTON, DE 19808
(302) 234-9109
1235101676DR. HORATIO C JONES III MD
Individual
Family Medicine5311 LIMESTONE RD STE 201
WILMINGTON, DE 19808
(302) 224-9109
1295766723 KIRK SWIGART
Individual
Physical Therapist5311 LIMESTONE RD STONEY BATTER MEDICAL PAVILION
WILMINGTON, DE 19808
(302) 235-4650
1427156769DR. CAROLYN OHARA IANNI MD
Individual
Internal Medicine5311 LIMESTONE RD SUITE 100
WILMINGTON, DE 19808
(302) 234-2200
1477606879G. REID CONLEY, D.P.M., P.A.
Organization
Podiatrist5311 LIMESTONE RD SUITE 203
WILMINGTON, DE 19808
(302) 234-3907
1538275409DR. LOUIS JOHN CENTRELLA MD
Individual
Family Medicine5311 LIMESTONE RD
WILMINGTON, DE 19808
(302) 234-2200
1629335336 CAROLYN MARY BARRETT FNP-C
Individual
Nurse Practitioner (Family)5311 LIMESTONE RD SUITE 201
WILMINGTON, DE 19808
(302) 234-9109
1649242801DR. SCOTT J SCHAEFFER MD
Individual
General Practice5311 LIMESTONE RD STE 201
WILMINGTON, DE 19808
(302) 234-9109
1720018849 MERRILL DUNCAN OUTSLAY PT, ATC, CSCS
Individual
Physical Therapist5311 LIMESTONE RD SUITE 101
WILMINGTON, DE 19808
(302) 235-4650
1750344784DR. EVA MARIE PIERORAZIO GERACIMOS MD
Individual
General Practice5311 LIMESTONE RD SUITE 201
WILMINGTON, DE 19808
(302) 234-9109
1780618876 STEPHEN ROMBACH
Individual
Physical Therapist5311 LIMESTONE RD STONEY BATTER MEDICAL PAVILION
WILMINGTON, DE 19808
(302) 235-4650
1831398015DR. MICHAEL RALPH HAAG DPM
Individual
Podiatrist5311 LIMESTONE RD SUITE 203
WILMINGTON, DE 19808
(302) 234-3907
1912981754DR. GILBERT REID CONLEY DPM
Individual
Podiatrist5311 LIMESTONE RD SUITE 203
WILMINGTON, DE 19808
(302) 234-3907
1932633211DR. BRAD SWASY
Individual
Chiropractor5311 LIMESTONE RD SUITE 200
WILMINGTON, DE 19808
(724) 840-6883
1942277553MRS. ANNE ARCHBALD NP
Individual
Nurse Practitioner5311 LIMESTONE RD STE 201
WILMINGTON, DE 19808
(302) 234-9109
1962662122 KATY E CROWE M.D.
Individual
Family Medicine5311 LIMESTONE RD SUITE 201
WILMINGTON, DE 19808
(302) 234-9109
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