Dennis R Haslam Jr., M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

M1746 Issued in TX

Practice address

11801 S. Freeway
Fort Worth, TX 76134

Phone

(817) 293-9110

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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 TX

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

Emergency Medicine

Education

West Virginia University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huguley Emergency Physicians, LLPGroup PAC ID 3072562446, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Huguley Emergency Physicians, LLP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fort Worth, TX
  • NPI 1346265071
  Medicare reassignment Care Compare group NPD
• Heb Emergicare PA

  • Emergency Medicine Physician
  • Bedford, TX
  • NPI 1306812193
  NPD (past)
• Emergency Medicine Physicians of Lenoir County PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1518906478
  NPD (past)
• National Emergency Services North Carolina Inc

  • Emergency Medicine Physician
  • Kenansville, NC
  • NPI 1063493484
  NPD (past)

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

• Texas Health Huguley, Inc

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1518355759
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • General Acute Care Hospital
  • Burleson, TX
  • NPI 1033120423
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1548273881
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1083679799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 B NORTH EASTERN",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "76059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 S. FREEWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76134",
            "telephone_number": "817-293-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "M1746",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176681801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmin Rana Haseen, PA-C
• Lori Humphrey Haseloff, MOTR/L
• Samira Hashim, PHARMD
• Caroline E Haskins, MS-CCC, SLP
• Charles A Haskovec Jr., PHD
• Haslet Medical Center LLC
• Jenniffer L Hasling, LCSW
• Ameena Hassan, ACNPC-AG
• Bilaal Hassan, MD
• Hassan Hassan Sr.

• Emergency Medical Services (Emergency Medicine) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.