MJ Haber MD LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MJ HABER MD LLC

Practice address

1605 Oak St
Eugene, OR 97401-4022

Phone

(541) 800-8970

Fax

(541) 654-4282

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

M Joshua Haber, MDNPI 1477667053

Title

Owner

Phone

(541) 800-8970

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Non-Surgical Pain Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• M Joshua Haber, M.D.

  • Pain Medicine Physician
  • Eugene, OR
  • NPI 1477667053

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1649981408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 GREEN ACRES RD STE 102-341",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081505",
            "telephone_number": "541-800-8970",
            "fax_number": "541-844-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014022",
            "telephone_number": "541-800-8970",
            "fax_number": "541-654-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ HABER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-800-8970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135308",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Non-Surgical Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Non-Surgical Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy A Mitchell, M.D.
• Shane Mitrov
• Andrea E Mittleider, LCSW
• Matthew Richard Mixer, LAC
• Ron Miyaguchi
• MJB Counseling and Consulting
• MK Counseling LLC
• Ida Moadab, PH.D.
• Mobility Project Physical Therapy P C
• Karissa Moden, MSW

• Pain Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.