Active NPI
John L Haste, MD
- Family Medicine Physician
- Argos, IN
National Provider Identifier
1194727032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01031969
- Practice address
- 530 N Michigan St
Argos, IN 46501-1134 - Phone
- (574) 892-5131
- Fax
- (574) 223-5847
- NPI assigned
- Aug 11, 2005
- Last updated
- Oct 2, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031969 | IN | Primary |
Addresses
Primary practice location
530 N Michigan St
Argos, IN 46501-1134
Mailing address
1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100223730A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031969 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Family Medicine | Current | Accepting new patients |
Locations
530 N Michigan St
Argos, IN 46501
Phone (574) 892-5131
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1194727032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E 9TH ST",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469758931",
"telephone_number": "574-224-1044",
"fax_number": "574-224-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MICHIGAN ST",
"city": "ARGOS",
"state": "IN",
"postal_code": "465011134",
"telephone_number": "574-892-5131",
"fax_number": "574-223-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTE",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01031969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100223730A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Argos, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.