Active NPI
Christina Haag, PA
- Physician Assistant
- Chandler, AZ
National Provider Identifier
1194379230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14475
- Practice address
- 255 S Dobson Rd Ste 1
Chandler, AZ 85224-6231 - Phone
- (480) 722-2595
- Fax
- (480) 722-2599
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- 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 | PA14475 | TX | Primary |
Addresses
Primary practice location
255 S Dobson Rd Ste 1
Chandler, AZ 85224-6231
Mailing address
6585 S Delmar PL
Gilbert, AZ 85298-4062
Phone (480) 298-5501
Other practice location 1
19555 N 59th Ave
Glendale, AZ 85308-6813
Phone (623) 572-3215
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715000851 | TX | Practitioner - Physician Assistant | 3476986951 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14475 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Urgent Care PLLC | Current | Accepting new patients |
Locations
300 W Central Texas Expy
Ste 115
Killeen, TX 76548
Phone (254) 383-2481
3202 S W S Young Dr
Ste 106
Killeen, TX 76542
Phone (254) 781-5446
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1194379230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 S DELMAR PL",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984062",
"telephone_number": "480-298-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S DOBSON RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246231",
"telephone_number": "480-722-2595",
"fax_number": "480-722-2599"
}
],
"practiceLocations": [
{
"address_1": "19555 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853086813",
"country_code": "US",
"telephone_number": "623-572-3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAG",
"first_name": "CHRISTINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2022-01-28",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.