Gordon Alexander Haskell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD37149E Issued in PA

Practice address

549 E Fair St
Bloomburg Hospital
Bloomsburg, PA 17815

Phone

(717) 387-2115

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lock Haven Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Lock Haven, PA
  • NPI 1710201322
  Medicare reassignment NPD
• Bloomsburg Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Bloomsburg, PA
  • NPI 1336168483
  NPD (past)
• Central PA Emergency Physicians

  • Emergency Medicine Physician
  • Williamsport, PA
  • NPI 1295786622
  NPD (past)
• Premier Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Sunbury, PA
  • NPI 1831413004
  NPD (past)
• John W Conboy MD PA

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Haines City, FL
  • NPI 1972512861
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326054263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 NW 63RD",
            "address_2": "SUITE 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-607-1318",
            "fax_number": "405-607-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E FAIR ST",
            "address_2": "BLOOMBURG HOSPITAL",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "17815",
            "telephone_number": "717-387-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "GORDON",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD37149E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011180410002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50060527",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "HA40669",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucinda Lee Harris, CRNP
• Donna Hartwell
• Hannah Joan Harvey, PA-C
• Kevin Harvey, MD
• Najee Harvey
• Allison Linsey Haupt, PHARMD
• Catherine Marie Haupt, PHARM.D, BCACP
• Corey Haupt, RPH
• Felicia Helene Hawkins, MD
• Christine Marie Hayes, RN

• Family Medicine Physician in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• 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.
• 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.