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DR. PAUL M HAIDAK MD
NPI 1871612515
General Practice in Tullahoma, TN

Active since March 27, 2007PECOS Enrolled
105 LEDFORD MILL RD, SUITE B, TULLAHOMA, TN 37388(931) 841-3311(931) 841-3314 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul M Haidak Md NPPES

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

DR. PAUL M HAIDAK MD (NPI 1871612515) is an individual general practice provider in Tullahoma, Tennessee, licensed in Tennessee (44645) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871612515
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PAUL M HAIDAKCredential: MD
Location Address105 LEDFORD MILL RD, SUITE BTullahoma, TN 37388-8261
Mailing Address105 Ledford Mill Rd Ste BTullahoma, TN 37388-8262 · (931) 841-3311 · Fax (931) 841-3314
Phone(931) 841-3311
Fax(931) 841-3314
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1871612515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 44645
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPlastic SurgeryTaxonomy 208200000X · License 44645 (TN)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 44645 (TN)
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 44645 (TN)
105 LEDFORD MILL RD, Tullahoma, TN 37388
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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. Paul M Haidak Md 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.

Other Providers at the Same Location NPPES 2

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

TOTAL HEALTH CARE ASSOCIATES, PLLC
Clinic/Center
105 LEDFORD MILL RD, STE B
TULLAHOMA, TN 37388
Coffee County (931) 222-4310
BERKSHIRE PLASTIC SURGEONS PLLC
Plastic Surgery
105 LEDFORD MILL RD, SUITE B
TULLAHOMA, TN 37388
Coffee County (931) 841-3311

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 Paul Haidak's NPI number?

The NPI number for Paul Haidak is 1871612515. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Paul Haidak located?

Paul Haidak practices at 105 Ledford Mill Rd Suite B, Tullahoma, TN 37388. The listed phone number is (931) 841-3311.

What is Paul Haidak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Paul Haidak enrolled in Medicare?

Yes. Paul Haidak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Haidak was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.