Active NPI
Ross Haffner
- Contractor
- Fort Wayne, IN
National Provider Identifier
1053735795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383 - Phone
- (888) 790-9896
- Fax
- (260) 451-2530
- NPI assigned
- Feb 18, 2014
- Last updated
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383
Mailing address
7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383
Phone (888) 790-9896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Medical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1043635568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1053735795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7616 DISALLE BLVD STE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253383",
"telephone_number": "888-790-9896",
"fax_number": "260-451-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7616 DISALLE BLVD STE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253383",
"telephone_number": "888-790-9896",
"fax_number": "260-451-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFNER",
"first_name": "ROSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.