Active NPI
Paul A Haight, D.O.
- Family Medicine Physician
- Spring Lake, MI
National Provider Identifier
1477555621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101005914
- Practice address
- 601 W Savidge St
Spring Lake, MI 49456-1620 - Phone
- (231) 672-3100
- Fax
- (231) 672-3102
- NPI assigned
- Jun 1, 2005
- Last updated
- Sep 3, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101005914 | MI | Primary |
Addresses
Primary practice location
601 W Savidge St
Spring Lake, MI 49456-1620
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N27840049 | Other | MI | MEDICARE |
| 700F110450 | Other | MI | BCBS GROUP NUMBER |
| 3107969 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1477555621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W SAVIDGE ST",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561620",
"telephone_number": "231-672-3100",
"fax_number": "231-672-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIGHT",
"first_name": "PAUL",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101005914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "N27840049",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "700F110450",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3107969",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.