Individual provider Active NPI

Linda A. Haegele, M.D.

  • Hematology (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1669464327
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
MD016271E Issued in PA
Practice address
9600 Roosevelt Blvd Ste 301
Physician Oncology, LTD
Philadelphia, PA 19115
Phone
(215) 677-5500
Fax
(215) 677-7280
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X MD016271E PA Primary

Addresses

Primary practice location

9600 Roosevelt Blvd Ste 301
Physician Oncology, LTD
Philadelphia, PA 19115

Mailing address

9600 Roosevelt Blvd
Ste 301
Philadelphia, PA 19115-3932
Phone (215) 677-5500

Other identifiers 2

IdentifierTypeStateIssuer
603382MedicaidPA
603382004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016271EPAMDHematology (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1669464327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 ROOSEVELT BLVD",
            "address_2": "STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153932",
            "telephone_number": "215-677-5500",
            "fax_number": "215-677-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 ROOSEVELT BLVD STE 301",
            "address_2": "PHYSICIAN ONCOLOGY, LTD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-677-5500",
            "fax_number": "215-677-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEGELE",
        "first_name": "LINDA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "PA",
            "license": "MD016271E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603382",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603382004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.