Active NPI
Anthony Huub De Haas, MD
- Surgery Physician
- Pawleys Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20905
- Practice address
- 14490 Ocean Hwy
Pawleys Island, SC 29585-9998 - Phone
- (843) 545-8850
- Fax
- (843) 545-5081
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20905 | SC | Primary |
Addresses
Primary practice location
14490 Ocean Hwy
Pawleys Island, SC 29585-9998
Mailing address
14490 Ocean Hwy
Pawleys Island, SC 29585-9998
Phone (843) 545-8850
Other practice location 1
2361 Cypress Cir
Conway, SC 29526-8921
Phone (843) 347-7291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T49276 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Brody School of Medicine at East Carolina University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112
Hospital & facility affiliations
- Conway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20905 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Surgery | Current | Accepting new patients |
| Self Medical Group | Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Conway Hospital, Inc. | Current | Accepting new patients | |
| McLeod Physician Associates II | Surgery | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Conway Hospital, Inc. | Current | Accepting new patients | |
| McLeod Physician Associates II | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
2361 Cypress Cir
Conway, SC 29526
Phone (843) 234-8600
705 N 8th Ave
Ste 2B
Dillon, SC 29536
Phone (843) 841-3846
705 N Ave
1B
Dillon, SC 29536
Phone (843) 841-3517
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809
50 E Hospital St
Ste 4
Manning, SC 29102
Phone (803) 435-2822
50 E Hospital St
Ste 4A
Manning, SC 29102
Phone (803) 433-0797
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- adehaas63847@selfregional.direct-ci.net
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Vascular Surgery Physician
- Conway, SC
- NPI 1134910763
-
- Urgent Care Clinic/Center
- Darlington, SC
- NPI 1386819613
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Surgery Physician
- Greenwood, SC
- NPI 1457685570
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Family Medicine Physician
- Dillon, SC
- NPI 1568434249
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1447296124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14490 OCEAN HWY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295859998",
"telephone_number": "843-545-8850",
"fax_number": "843-545-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14490 OCEAN HWY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295859998",
"telephone_number": "843-545-8850",
"fax_number": "843-545-5081"
}
],
"practiceLocations": [
{
"address_1": "2361 Cypress Cir",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268921",
"country_code": "US",
"telephone_number": "843-347-7291",
"fax_number": "843-347-0139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE HAAS",
"first_name": "ANTHONY",
"middle_name": "HUUB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "20905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T49276",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.