Organization Active NPI

David H. Haase

  • Family Medicine Physician
  • Clarksville, TN
National Provider Identifier
1386843308
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID H. HAASE
Practice address
556B Fire Station Rd
Clarksville, TN 37043-4016
Phone
(931) 648-9595
Fax
(931) 648-9567
NPI assigned
Jul 11, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Ms. Diane R Welker
Title
Practice Manager
Phone
(931) 648-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

556B Fire Station Rd
Clarksville, TN 37043-4016

Mailing address

556B Fire Station Rd
Clarksville, TN 37043-4016
Phone (931) 648-9595

Other names 1

  • MaxWell Clinic Other name

National Provider Directory

National Provider Directory

Locations

556 Fire Station Rd
Ste B
Clarksville, TN 37043
Phone (931) 553-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386843308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556B FIRE STATION RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434016",
            "telephone_number": "931-648-9595",
            "fax_number": "931-648-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556B FIRE STATION RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434016",
            "telephone_number": "931-648-9595",
            "fax_number": "931-648-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. HAASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "WELKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-648-9595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxWell Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.