DR. GEORGE J HAEDICKE M.D.
NPI 1750475919
Specialist in Tampa, FL

Q: What is George Haedicke's NPI number?

The NPI number for George Haedicke is 1750475919. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is George Haedicke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for George Haedicke was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2006PECOS Enrolled

4600 N HABANA AVE, SUITE 22, TAMPA, FL 33614(813) 874-7529(813) 879-1961 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. George J Haedicke M.d. NPPES

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

DR. GEORGE J HAEDICKE M.D. (NPI 1750475919) is an individual specialist in Tampa, Florida, licensed in Florida (ME0052210) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750475919

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GEORGE J HAEDICKECredential: M.D.

Location Address4600 N HABANA AVE, SUITE 22Tampa, FL 33614-7123

Mailing Address4600 N Habana Ave, Suite 22Tampa, FL 33614-7123 · (813) 874-7529 · Fax (813) 879-1961

Phone(813) 874-7529

Fax(813) 879-1961

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750475919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0052210

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4600 N HABANA AVE, Tampa, FL 33614

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Other Identifiers 2

Medicare ID-Type Unspecified07836FL

Medicare UPINE21426FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George J Haedicke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.