Individual provider Active NPI

Muhammad Wasi Haq, MD

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1447357991
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701386 Issued in NC
Practice address
1235 Ramsey St
Fayetteville, NC 28301-4401
Phone
(910) 433-3600
Fax
(910) 321-7103
NPI assigned
Sep 19, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701386 NC Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 9701386 NC

Addresses

Primary practice location

1235 Ramsey St
Fayetteville, NC 28301-4401

Mailing address

4301 Ferncreek Drive
Fayetteville, NC 28314-2543
Phone (910) 484-9302

Other identifiers 2

IdentifierTypeStateIssuer
11004OtherBLUECROSSBLUESHIELD( BCBS
8911004MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100422000953 NC Practitioner - Family Practice 4587791561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701386NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Healthcare Services, PA CurrentSince Sep 15, 2019 Accepting new patients
Stedman-Wade Health Services, Inc. Past Accepting new patients

Locations

2577 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 438-0947

821 S Main St
Laurinburg, NC 28352
Phone (910) 266-0092

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1447357991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 FERNCREEK DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142543",
            "telephone_number": "910-484-9302",
            "fax_number": "910-484-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-433-3600",
            "fax_number": "910-321-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "MUHAMMAD",
        "middle_name": "WASI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701386",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "9701386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD( BCBS",
            "identifier": "11004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911004",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.