GORDON DALE HAUGAN MD
NPI 1831122126
Pediatrics in Green Bay, WI

Q: What is Gordon Haugan's NPI number?

The NPI number for Gordon Haugan is 1831122126. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Gordon Haugan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Haugan was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since July 09, 2006

1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700(920) 436-1349 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Gordon Dale Haugan Md NPPES

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

GORDON DALE HAUGAN MD (NPI 1831122126) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (23078) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1831122126

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameGORDON DALE HAUGANCredential: MD

Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211

Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 436-1349

Phone(920) 496-4700

Fax(920) 436-1349

Sole ProprietorNo

Enumeration DateJuly 9, 2006

Last NPPES UpdateJuly 24, 2008

✔ NPI 1831122126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 23078

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1715 DOUSMAN ST, Green Bay, WI 54303

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB53472

Medicaid30338800WI

Medicare ID-Type Unspecified07125-0002

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.

MRS. JENNA MAE HANSON PA-C

Physician Assistant (Medical)