Haag Foot and Ankle PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM00000000676 Issued in TN

Legal business name

HAAG FOOT AND ANKLE PLLC

Practice address

4957 Swinyar Dr Ste 105
Ooltewah, TN 37363-2205

Phone

(423) 396-3668

Fax

(423) 396-2436

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Haag, DPMNPI 1386688174

Title

President

Phone

(423) 396-3668

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl A. Haag

  • Foot & Ankle Surgery Podiatrist
  • Ooltewah, TN
  • NPI 1386688174
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Timothy Haag, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ooltewah, TN
  • NPI 1174044010
  Medicare reassignment Care Compare group NPD
• Adam Matthew Dahlberg, D.C.

  • Chiropractor
  • Ooltewah, TN
  • NPI 1053956599
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1518351378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 SWINYAR DR STE 105",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632205",
            "telephone_number": "423-396-3668",
            "fax_number": "423-396-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 SWINYAR DR STE 105",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632205",
            "telephone_number": "423-396-3668",
            "fax_number": "423-396-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9325 Apison Pike",
            "address_2": "suite 137",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "37363",
            "country_code": "US",
            "telephone_number": "423-396-3668",
            "fax_number": "423-396-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAAG FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-396-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM00000000676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518351378",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019161",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513514",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bell Groft, PA-C
• Kent A Grotefendt, MD
• Amy Valarie Gruber
• Jessica Gulch, APRN, NP
• John P Gunter, MD
• Cheryl A. Haag
• Kevin Timothy Haag, DPM
• Lester Timothy Haag, DPM
• Robina Habib, DMD
• Bonny M Hadacek, RN

• Podiatrist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.