Active NPI
Nedira E Haik, MD
- Family Medicine Physician
- Staunton, VA
National Provider Identifier
1275593808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101247668
- Practice address
- 102 Business Way
Staunton, VA 24401-4593 - Phone
- (540) 886-5777
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- 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 | 0101247668 | VA | Primary |
Addresses
Primary practice location
102 Business Way
Staunton, VA 24401-4593
Mailing address
102 Business Way
Staunton, VA 24401-4593
Phone (540) 886-5777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275593808 | Medicaid | VA | |
| 541663754 | Other | CVFP, INC | |
| 882227100 | Medicaid | MN | |
| VAA104004 | Other | CVFP, INC MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1275593808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BUSINESS WAY",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014593",
"telephone_number": "540-886-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BUSINESS WAY",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014593",
"telephone_number": "540-886-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIK",
"first_name": "NEDIRA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101247668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275593808",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVFP, INC",
"identifier": "541663754",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882227100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVFP, INC MEDICARE",
"identifier": "VAA104004",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.