Charles Haddad, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD2013-0238 Issued in NM

Practice address

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Phone

(505) 727-7096

Fax

(505) 727-7099

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: chaddad286821@ahs.direct-ci.com

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1346220456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991",
            "telephone_number": "505-727-7096",
            "fax_number": "505-727-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-727-7096",
            "fax_number": "505-727-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5419 N Lovington Hwy Ste 4",
            "address_2": "Pecos Valley of NM, LLC dba Southeastern NM Surgery",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882409102",
            "country_code": "US",
            "telephone_number": "575-392-3200",
            "fax_number": "575-392-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "18896",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2013-0238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63828847",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171421",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Hable, MD
• Ahmad Hachem, M.D.
• Naseer A Hack, RPH
• Maxine Hackney, SLP
• Eric S Hadady, D.C.
• Brenda L Hadden, P.T.
• Jennifer L. Haddock, PHARMD.
• Allison Leigh Hade, DO
• Senan Hadid, M.D.
• Caroline Campbell Hadley, MD

• Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.