Individual provider Active NPI

Emily Haas, PA

  • Physician Assistant
  • Trenton, MI
National Provider Identifier
1508105099
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007049 Issued in MI
Practice address
3645 West Rd
Trenton, MI 48183-2225
Phone
(734) 365-8801
Fax
(734) 365-8802
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001003968 NC
Physician Assistant 363A00000X 5601007049 MI Primary

Addresses

Primary practice location

3645 West Rd
Trenton, MI 48183-2225

Mailing address

3645 West Rd
Trenton, MI 48183-2225
Phone (734) 365-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413000240 MI Practitioner - Physician Assistant 0446497705 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007049MIMDPhysician Assistant
001003968NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Ridge Chiropractic & Auto Injury PastSince Aug 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.haas.1@8940.direct.athenahealth.com
  • Direct secure messaging: ehaas761415@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1508105099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832225",
            "telephone_number": "734-365-8801",
            "fax_number": "734-365-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832225",
            "telephone_number": "734-365-8801",
            "fax_number": "734-365-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001003968",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.