Kenneth Fred Haas, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME77693 Issued in FL

Practice address

115 NE 3Rd Street Suite C
Okeechobee, FL 34972-1922

Phone

(863) 357-7447

Fax

(863) 357-1844

NPI assigned

Apr 7, 2006

Last updated

Sep 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth F Haas M D P a

  • Gastroenterology Physician
  • Okeechobee, FL
  • NPI 1871748269
  Authorized official Same address or phone

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1629031083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE 3RD STREET SUITE C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721922",
            "telephone_number": "863-357-7447",
            "fax_number": "863-357-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 3RD STREET SUITE C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721922",
            "telephone_number": "863-357-7447",
            "fax_number": "863-357-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "KENNETH",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME77693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Leticia Goodrich, AG08200038
• Grand Oaks of Okeechobee, Inc.
• Nathalie Grant
• Jesus A. Groso, M.D.
• David Guzak
• Ashley Hall
• Jo Beth Hansford, PHARM.D.
• Kyla Danielle Hargraves, APRN
• Megan Riley Hargraves
• Harmony Health & Family Practice LLC

• Gastroenterology Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.