Organization Active NPI

Karen Von Haam MD PC

  • Family Medicine Physician
  • Falmouth, MA
National Provider Identifier
1003003237
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158961 Issued in MA
Legal business name
KAREN VON HAAM MD PC
Practice address
99 Davis Straits
Falmouth, MA 02540-3909
Phone
(508) 540-7423
Fax
(508) 540-7152
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karen Von Haam, MDNPI 1558342790
Title
President
Phone
(508) 540-7423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 158961 MA Primary

Addresses

Primary practice location

99 Davis Straits
Falmouth, MA 02540-3909

Mailing address

99 Davis Straits
Falmouth, MA 02540-3909
Phone (508) 540-7423

Other identifiers 1

IdentifierTypeStateIssuer
9720791MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613000268 MA Part B Supplier - Clinic/Group Practice 6709820616 Receives reassigned benefits from 1 practitioner
Practice locations: Teaticket, MA

National Provider Directory

National Provider Directory

Locations

99 Davis Straits
Falmouth, MA 02540
Phone (508) 540-7423

270 Teaticket Hwy
Ste 1A
Teaticket, MA 02536
Phone (508) 540-7423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHFBD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1003003237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DAVIS STRAITS",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403909",
            "telephone_number": "508-540-7423",
            "fax_number": "508-540-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DAVIS STRAITS",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403909",
            "telephone_number": "508-540-7423",
            "fax_number": "508-540-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN VON HAAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "VON HAAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-540-7423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "158961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9720791",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.