Individual provider Active NPI

Adriane Floyd Haragan, M.D.

  • Maternal & Fetal Medicine Physician
  • Murray, UT
National Provider Identifier
1679868558
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
13525976-1235 Issued in UT
Practice address
5121 S Cottonwood St
Murray, UT 84107-5701
Phone
(801) 507-7400
Fax
(801) 507-7493
NPI assigned
Jun 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MMD.33808 LL SC
Maternal & Fetal Medicine Physician 207VM0101X 2939 WI
Maternal & Fetal Medicine Physician 207VM0101X 66584 MT
Maternal & Fetal Medicine Physician 207VM0101X 13525976-1235 UT Primary

Addresses

Primary practice location

5121 S Cottonwood St
Murray, UT 84107-5701

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

96 Jonathan Lucas St
Suite 634
Charleston, SC 29425-8900
Phone (843) 792-4500

Other practice location 2

210 Sunnyview Ln Ste 103
Kalispell, MT 59901
Phone (406) 257-3872

Other practice location 3

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6667

Other practice location 4

7095 Bristol Ln
Bozeman, MT 59715-9559
Phone (903) 815-8337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180618001199 MT Practitioner - Other (Physician) 0749501377 Reassigns benefits to 2 organizations
I20231212003419 UT Practitioner - Obstetrics/Gynecology 0749501377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMD.33808 LLSCMDObstetrics & Gynecology Physician
66584MTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 20, 2023 Accepting new patients
St. Peter'S Health CurrentSince Nov 1, 2021 Accepting new patients
St Peters Hospital CurrentSince Nov 1, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Dec 20, 2023 Accepting new patients
St Peter'S Health Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 31, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Past Accepting new patients
Bozeman Health Deaconess Hospital Obstetrics & Gynecology Past Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology PastSince Aug 1, 2004 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2900 12th Ave N
Ste 130W
Billings, MT 59101
Phone (406) 237-5888

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

70 Cattail Dr
Lewistown, MT 59457
Phone (406) 535-7070

98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

4401 Harrison Blvd
Ste 4600
Ogden, UT 84403
Phone (801) 387-4647

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3723 W 12600 S
Ste 350
Riverton, UT 84065
Phone (801) 285-4730

5121 S Cottonwood St
Ste 130
Salt Lake City, UT 84107
Phone (801) 507-7400

5121 S Cottonwood St
Ste 100
Salt Lake City, UT 84107
Phone (801) 507-7400

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

1380 E Medical Center Dr
Ste 1600
St George, UT 84790
Phone (435) 251-4150

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1679868558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S COTTONWOOD ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-7400",
            "fax_number": "801-507-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Jonathan Lucas St",
            "address_2": "Suite 634",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258900",
            "country_code": "US",
            "telephone_number": "843-792-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Sunnyview Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "59901",
            "country_code": "US",
            "telephone_number": "406-257-3872",
            "fax_number": "406-758-7077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151507",
            "country_code": "US",
            "telephone_number": "608-417-6667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Bristol Ln",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597159559",
            "country_code": "US",
            "telephone_number": "903-815-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARAGAN",
        "first_name": "ADRIANE",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "MMD.33808 LL",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "2939",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MT",
            "license": "66584",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "13525976-1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "210 Sunnyview Ln",
            "address_2": "Suite 103",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.