Anthony Donald Haase III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

56948 Issued in TN

Practice address

1224 Trotwood Ave
Columbia, TN 38401

Phone

(931) 380-4072

Fax

(931) 490-7043

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Internal MedicineAlso: Pediatric Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

Merit-based Incentive Payment System (MIPS)

Final score

69.45 of 100Reported as group

Quality

42.88

Promoting interoperability

77

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Maury Regional Hospital Marshall Medical Center

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• Hospital Service District #1 of Tangipahoa

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1619113875

  Multi-Specialty

  NPD (past)

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

• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  Care Compare affiliation

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1043400435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MASONIC DR",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "70443",
            "telephone_number": "985-878-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-380-4072",
            "fax_number": "931-490-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "LA",
            "postal_code": "70443",
            "country_code": "US",
            "telephone_number": "985-878-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAASE",
        "first_name": "ANTHONY",
        "middle_name": "DONALD",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "56948",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "56948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zinaida Gugkaeva, PHARMD
• Courtney Elizabeth Guile
• Lisa Guthrie, LMSW
• H. James Wiesman , Jr, M.D.
• H. James Wiesman, Jr. , MD
• Rebecca Haase, N.P.
• Makenna Haerr, MS, RDN
• Jamey Hagan, FNP-C
• James Haigh, LPC-MHSP (TEMP)
• Mallory Carta Haile

• Pediatrics Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.