Active NPI
Jeffrey Thomas Haugh, M.D.
- Anesthesiology Physician
- Hagerstown, MD
National Provider Identifier
1245294164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0037485
- Practice address
- 1110 Medical Campus Rd
Suite 228
Hagerstown, MD 21712 - Phone
- (301) 733-0022
- NPI assigned
- Apr 17, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0037485 | MD | Primary |
| Anesthesiology Physician | 207L00000X | MD060826L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | D0037485 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD060826L | PA |
Addresses
Primary practice location
1110 Medical Campus Rd
Suite 228
Hagerstown, MD 21712
Mailing address
PO Box 931
Harpers Ferry, WV 25425-0931
Phone (301) 685-3555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50050095 | Other | MD | RR MC |
| CA8702 | Other | MD | RR GRP |
| 347081400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037485 | MD | MD | Anesthesiology Physician |
| MD060826L | PA | MD | Anesthesiology Physician |
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.
-
- Anesthesiology Physician
- Hagerstown, MD
- NPI 1205880390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1245294164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931",
"city": "HARPERS FERRY",
"state": "WV",
"postal_code": "254250931",
"telephone_number": "301-685-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MEDICAL CAMPUS RD",
"address_2": "SUITE 228",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21712",
"telephone_number": "301-733-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGH",
"first_name": "JEFFREY",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0037485",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD060826L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MD",
"license": "D0037485",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD060826L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "50050095",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GRP",
"identifier": "CA8702",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347081400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.