Michael Wayne Haser, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0059583 Issued in FL

Practice address

330 Kay Larkin Drive
Palatka, FL 32177

Phone

(386) 329-3780

Fax

(386) 329-3786

NPI assigned

Dec 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588728273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1959",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326551959",
            "telephone_number": "386-454-4219",
            "fax_number": "386-454-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DRIVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-329-3780",
            "fax_number": "386-329-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0059583",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "13963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn Harris, M.S., CCC-SLP
• Ronda J. Harris
• Stephanie Melissa Harris, APRN
• Danielle Renee Harvey, PHARMD
• Gregory William Harvey, RPH
• Helen Karilynn Hawkins
• Savannah Mills Hawkins, M.S CF-SLP
• Health Services of Palatka (Palatka Health Care Center)
• Madeline D Hembree
• Myah Hennessey

• Psychiatry Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.