Individual provider Active NPI

Robert Anthony Haggard, MD

  • Family Medicine Physician
  • Jonestown, PA
National Provider Identifier
1477513711
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD049039L Issued in PA
Practice address
100 E Queen St
Jonestown, PA 17038-9774
Phone
(717) 865-2162
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD049039L PA Primary

Addresses

Primary practice location

100 E Queen St
Jonestown, PA 17038-9774

Mailing address

100 E Queen St
Jonestown, PA 17038-9774

Other identifiers 3

IdentifierTypeStateIssuer
0731953OtherPABLUE SHIELD
02079601OtherPABLUE CROSS
001404768MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhaggard115312@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100217000701 PA Practitioner - Family Practice 7315081148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049039LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Renova Center Past Accepting new patients

Locations

120 S Tan Aly
Ste 1
Fredericksburg, PA 17026

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

100 E Queen St
Jonestown, PA 17038
Phone (717) 865-0739

Organizations & group practices 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1477513711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E QUEEN ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170389774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E QUEEN ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170389774",
            "telephone_number": "717-865-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD049039L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0731953",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02079601",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001404768",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhaggard115312@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "100 E Queen St",
            "city": "Jonestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170389774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonestown, PA

Sources for this page

Verify at the official NPI Registry.