Peter Joseph Haibach, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27800 Issued in NC

Practice address

136 Furman Rd
Suite 7
Boone, NC 28607-5038

Phone

(828) 262-0060

Fax

(828) 262-0062

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Appalachian Regional Medical Associates

  dba Watauga Internal Medicine

  • Internal Medicine Physician
  • Boone, NC
  • NPI 1407093990
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205865813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD",
            "address_2": "SUITE 7",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "828-262-0060",
            "fax_number": "828-262-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD",
            "address_2": "SUITE 7",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "828-262-0060",
            "fax_number": "828-262-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIBACH",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "27800",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000013321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4176480",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "38193",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938193",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "98499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Haas
• Justin Haber, LCMHC-A, LCAS-A
• Marye Elizabeth Hacker, M.D.
• Pamela F Hagaman, PT,OCS
• Steven J Hagen, MD
• Celeste Halcomb, PA-C
• Brent Dwayne Hall, M.D.
• James Lawrence Hamby, M.D.
• Robert Tate Hamlet III, ATC, LAT
• Kaya Journey Hamm

• Internal Medicine Physician in Boone, NC
• Providers in Boone, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.