Active NPI
Lester N Hauge, M.D.
- Addiction Medicine (Anesthesiology) Physician
- Fernandina Beach, FL
National Provider Identifier
1679568182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- ME78635
- Practice address
- 2416 Lynndale Rd
Suite 110
Fernandina Beach, FL 32034-5252 - Phone
- (941) 752-1900
- Fax
- (941) 752-1905
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | ME78635 | FL | Primary |
Addresses
Primary practice location
2416 Lynndale Rd
Suite 110
Fernandina Beach, FL 32034-5252
Mailing address
1790 Gardenia St
Fernandina Beach, FL 32034-1980
Phone (941) 752-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58706 | Other | FL | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates, PS | Past | Accepting new patients | |
| Anesthesia Group of Sarasota PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1063471514
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1831143254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1679568182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 GARDENIA ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320341980",
"telephone_number": "941-752-1900",
"fax_number": "941-752-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 LYNNDALE RD",
"address_2": "SUITE 110",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320345252",
"telephone_number": "941-752-1900",
"fax_number": "941-752-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGE",
"first_name": "LESTER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "FL",
"license": "ME78635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58706",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.