Mazin F Haddadin, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME75813 Issued in FL

Practice address

502 W Highland Blvd
Inverness, FL 34452-4720

Phone

(919) 425-1565

NPI assigned

Jun 20, 2006

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 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180

  Emergency Medicine, FL

  Medicare reassignment NPD
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767

  Emergency Medicine, FL

  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  Emergency Medicine, FL

  Medicare reassignment NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070

  VA

  Medicare reassignment NPD
• Ingleside Emergency Group, LLC

  • Emergency Medicine Physician
  • Low Moor, VA
  • NPI 1144712662

  Emergency Medicine, VA

  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  Emergency Medicine, FL

  Medicare reassignment NPD
• Western Virginia Regional Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Norton, VA
  • NPI 1386183028

  Emergency Medicine, VA

  Medicare reassignment NPD
• Mid-Florida Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1558630152

  FL

  Medicare reassignment
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Clover Emergency Physicians LLC

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1891744736

  Emergency Medicine

  NPD (past)
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 32)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1346285459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 ROMINE CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099411",
            "telephone_number": "352-683-3821",
            "fax_number": "919-425-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524720",
            "telephone_number": "919-425-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDADIN",
        "first_name": "MAZIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME75813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254582900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORE",
            "identifier": "43523",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfcoast Home Medical Equipment, Inc.
• Jaya P Gurnani, RPT
• Parmanand Gurnani, M.D.
• Kristina Gustafson-Rairie, CCC-SLP
• H2 Rehabilitation Services of Florida LLC
• Hanger Prosthetics & Orthotics Inc
• Kevin Hanlon, PHARM.D.
• Naznin Haq
• Marianne V. Harnig, OTR/L
• James Michael Harsch, PHARM.D.

• All providers in Inverness, FL
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.