Ahmad Y Haffar, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

23069 Issued in WI

Practice address

3475 Omro Rd
Suite 200
Oshkosh, WI 54904-7125

Phone

(920) 236-0991

Fax

(920) 236-0993

NPI assigned

Nov 1, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Valley Neurology Clinic SC

  • Neurology Physician
  • Oshkosh, WI
  • NPI 1952442394
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1366529901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "888-724-6377",
            "fax_number": "715-251-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 OMRO RD",
            "address_2": "SUITE 200",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047125",
            "telephone_number": "920-236-0991",
            "fax_number": "920-236-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFAR",
        "first_name": "AHMAD",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "23069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21300900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30348500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy D Guzman-Gombos, RN
• Diane J Haberman, PA-C
• Steven J Hable, LPC
• Patricia Hablewitz
• Sharon R Haertl, RN
• Daniel Hafner, PA
• Janet W Hagen, PH.D.
• Kristoffer L Hagen, CRNA
• Susan Doris Haidlinger, RN
• Jennifer M Halbach-Giese, APNP

• Neurology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.