Haden Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HADEN FAMILY MEDICINE PC

Doing business as

Haden Family Medicine PC

Practice address

1111 N Haynes Ave
Centerville, IA 52544-1133

Phone

(515) 408-5105

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Davis Haden, DONPI 1760777296

Title

Family Medicine Physician

Phone

(641) 552-1484

Specialties & licenses 1

Addresses

Other names 1

• Haden Family Medicine PC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer D Haden, D.O.

  • Family Medicine Physician
  • Centerville, IA
  • NPI 1760777296
  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1275373938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441133",
            "telephone_number": "415-521-4846",
            "fax_number": "641-328-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441133",
            "telephone_number": "515-408-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADEN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HADEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "641-552-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haden Family Medicine PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haden Family Medicine PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Centerville, IA
• Providers in Centerville, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.