David J Haidak, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

D0017605 Issued in MD

Practice address

8926 Woodyard Rd
Ste 201
Clinton, MD 20735-4231

Phone

(301) 868-7911

Fax

(301) 868-2285

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 17

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.haidak@directaddress.net

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.

• Carroll Regional Cancer Center Physicians, LLC

  • Hematology & Oncology Physician
  • Westminster, MD
  • NPI 1609167998
  Medicare reassignment NPD
• Maryland Oncology Hematology, P.a.

  • Multi-Specialty Clinic/Center
  • Laurel, MD
  • NPI 1821271032

  DC, Hematology & Oncology

  Medicare reassignment NPD
• Maryland Oncology Hematology P.a.

  • Non-Pharmacy Dispensing Site
  • Silver Spring, MD
  • NPI 1336693431
  NPD
• Maryland Oncology Hematology P.a.

  • Hematology & Oncology Physician
  • Columbia, MD
  • NPI 1396710703
  NPD
• Maryland Oncology Hematology, P.a.

  • Medical Oncology Physician
  • Gettysburg, PA
  • NPI 1275827891
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1215933221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "STE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354231",
            "telephone_number": "301-868-7911",
            "fax_number": "301-868-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "STE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354231",
            "telephone_number": "301-868-7911",
            "fax_number": "301-868-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAK",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0017605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DC",
            "identifier": "02810004",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MNG",
            "identifier": "004052732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "493216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "830001307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "830004072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "086401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3000017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "324510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "481545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DC",
            "identifier": "B6480002",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022118900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD - CLINTON",
            "identifier": "32300002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD - GREENBELT",
            "identifier": "32300003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "324510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "058810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "04701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20096 1700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy W. Gargour, M.D., P.a.
• Keyteshia Guy, M.D.
• Jarita Arnette Hagans, M.D.
• Hagar Healthcare
• Robert J Hage, DO
• Haja Behavioral and Medical Health Services LLC
• Haja Behavioral and Medical Health Services LLC
• John P. Hakim, MD
• Sonia Yvette Haley, M.A.
• Keyona R Hall, LCPC

• Hematology & Oncology Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.

Verify at the official NPI Registry.