Matthew John Haag, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2134 Issued in WV

Practice address

115 Summers Hospital Rd
Hinton, WV 25951-5172

Phone

(304) 466-2918

Fax

(304) 466-2917

NPI assigned

Oct 12, 2005

Last updated

May 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• PCH Home Health Home health agency, Princeton, WV, CCN 517081
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392
• Direct secure messaging: matthewhaag@arh.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluestone Health Association, Inc.

  dba Bluestone Primary Care

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1003453317
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Pinnacle Primary Care

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1174402572
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1346266848
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Medical Center

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1437508314
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Family Practice

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1770950396
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Prudich Medical Center

  • Federally Qualified Health Center (FQHC)
  • Montcalm, WV
  • NPI 1043387327
  NPD
• Judith a King MN FNP PC

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1154621613
  NPD (past)
• Monroe County Health Center

  dba Craig County Dental Center

  • General Practice Dentistry
  • New Castle, VA
  • NPI 1548582034
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1033107016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS ROAD",
            "address_2": "SUITE 311",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-487-7503",
            "fax_number": "606-439-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUMMERS HOSPITAL RD",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259515172",
            "telephone_number": "304-466-2918",
            "fax_number": "304-466-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "001764617",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "187682",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00265300",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "313828",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003468",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7280480",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teaira L Gore
• Patricia L. Grady, LICSW
• Austin Gragg
• Seth Edward Graham, D.O., PHARMD.
• Greenbrier Valley Physical Therapy, LLC (Summers Physical Therapy)
• Natasha Yvonne Hall
• Paul E Hall II
• Mary Ann Handy
• Jacqueline Harper, PTA
• Bonnie Kay Harrah

• Family Medicine Physician in Hinton, WV
• Providers in Hinton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.