Erin Haase, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI 1508624925 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1508624925
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1400 W 22ND St
Sioux Falls, SD 57105-1554
Phone
(605) 357-1391
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250724002275 SD Order and Referring Only - General Surgery
Practitioner - General Surgery
3577070606

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1400 W 22ND St
Sioux Falls, SD 57105-1554

Mailing address

2800 S University Dr
Fort Worth, TX 76129-0001

Other practice location 1

2800 S University Dr
Fort Worth, TX 76129-0001
Phone (701) 210-0857

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Student in an Organized Health Care Education/Training Program in South Dakota

Sources for this page

Verify at the official NPI Registry.