Active NPI
Eric D Haugen, MD
- Pediatrics Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35075
- Practice address
- 1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453 - Phone
- (515) 241-8923
- Fax
- (515) 241-8728
- NPI assigned
- Sep 7, 2005
- Last updated
- Dec 13, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35075 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453
Mailing address
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453
Phone (515) 241-8923
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063406940 | Medicaid | IA | |
| 209917806 | Medicaid | MO | |
| 42068045213 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228
1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Interoperability endpoints
- ehaugen9877@direct.unitypoint.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unitypoint Clinic Pediatrics Fort Dodge | Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
May 1, 2022 May 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Unitypoint Clinic Pediatrics Fort Dodge
- Rural Health Clinic/Center
- Fort Dodge, IA
- NPI 1447778170
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 6
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.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
dba Iowa Health Cardiology
- Cardiovascular Disease Physician
- Des Moines, IA
- NPI 1902857592
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1063406940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091453",
"telephone_number": "515-241-8923",
"fax_number": "515-241-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091453",
"telephone_number": "515-241-8923",
"fax_number": "515-241-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "ERIC",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "35075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063406940",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209917806",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42068045213",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.