Organization Active NPI

Michael R Haag, DPM, Atc, LLC

  • Podiatric Clinic/Center
  • Wilmington, DE
National Provider Identifier
1083847644
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E1-0000189 Issued in DE
Legal business name
MICHAEL R HAAG, DPM, ATC, LLC
Practice address
5311 Limestone Rd
Suite 203
Wilmington, DE 19808-1246
Phone
(302) 234-3907
Fax
(302) 234-3927
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Michael Ralph Haag, DPMNPI 1831398015
Title
Podiatrist
Phone
(856) 885-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E1-0000189 DE Primary

Addresses

Primary practice location

5311 Limestone Rd
Suite 203
Wilmington, DE 19808-1246

Mailing address

5311 Limestone Rd
Suite 203
Wilmington, DE 19808-1246
Phone (302) 234-3907

National Provider Directory

National Provider Directory

Locations

5311 Limestone Rd
Ste 203
Wilmington, DE 19808
Phone (302) 234-3907

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1083847644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081246",
            "telephone_number": "302-234-3907",
            "fax_number": "302-234-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081246",
            "telephone_number": "302-234-3907",
            "fax_number": "302-234-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R HAAG, DPM, ATC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-885-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "DE",
            "license": "E1-0000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.