Active NPI
Eric N Haas, PA
- Physician Assistant
- Boston, MA
National Provider Identifier
1144312174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 749
- Practice address
- 1 BMC Place
BMC Family Medicine
Boston, MA 02118 - Phone
- (617) 638-5930
- NPI assigned
- Sep 28, 2006
- Last updated
- Oct 26, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 749 | MA | Primary |
Addresses
Primary practice location
1 BMC Place
BMC Family Medicine
Boston, MA 02118
Mailing address
115 Westland Ave
Newton, MA 02465-1548
Phone (617) 795-5963
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 749 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- eric.haas@2653.securemail.prognocis.com
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.
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1770504599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1144312174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WESTLAND AVE",
"city": "NEWTON",
"state": "MA",
"postal_code": "024651548",
"telephone_number": "617-795-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BMC PLACE",
"address_2": "BMC FAMILY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "ERIC",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.