Active NPI
Jonathan C Haas, MD
- Orthopaedic Surgery Physician
- Willmar, MN
National Provider Identifier
1104855618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 41628
- Practice address
- 101 Willmar Avenue SW
Affiliated Community Medical Centers
Willmar, MN 56201 - Phone
- (320) 231-5000
- Fax
- (320) 231-5067
- NPI assigned
- Jun 30, 2006
- Last updated
- May 3, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 41628 | MN | Primary |
Addresses
Primary practice location
101 Willmar Avenue SW
Affiliated Community Medical Centers
Willmar, MN 56201
Mailing address
101 Willmar Avenue SW
Affiliated Community Medical Centers
Willmar, MN 56201
Phone (320) 231-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110468300 | Medicaid | MN |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Consultants of Wyoming Valley LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Fairmont Orthopedics & Sports Medicine P a | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Specialist
- Armstrong, IA
- NPI 1487885653
-
- Orthopaedic Surgery Physician
- Kingston, PA
- NPI 1114939451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1104855618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WILLMAR AVENUE SW",
"address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WILLMAR AVENUE SW",
"address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "JONATHAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "41628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110468300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.