Individual provider Active NPI

David Hans Hauge, MD

  • Neurological Surgery Physician
  • Knoxville, TN
National Provider Identifier
1417946559
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD20514 Issued in TN
Practice address
9314 Park West Blvd
200 Medical Arts BLDG
Knoxville, TN 37923-4353
Phone
(865) 694-0577
Fax
(865) 694-4720
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD20514 TN Primary

Addresses

Primary practice location

9314 Park West Blvd
200 Medical Arts BLDG
Knoxville, TN 37923-4353

Mailing address

9314 Park West Blvd
200 Medical Arts BLDG
Knoxville, TN 37923-4353
Phone (865) 694-0577

Other identifiers 1

IdentifierTypeStateIssuer
3051732MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110127000562 TN Practitioner - Neurosurgery 1254471683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20514TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, PC Neurological Surgery CurrentSince Apr 1, 2017 Accepting new patients

Locations

9314 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 694-0577

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1417946559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD",
            "address_2": "200 MEDICAL ARTS BLDG",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234353",
            "telephone_number": "865-694-0577",
            "fax_number": "865-694-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD",
            "address_2": "200 MEDICAL ARTS BLDG",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234353",
            "telephone_number": "865-694-0577",
            "fax_number": "865-694-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "DAVID",
        "middle_name": "HANS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD20514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051732",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.