Active NPI
Linda C Haessler, P.A.-C.
- Physician Assistant
- Moline, IL
National Provider Identifier
1699734137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001176
- Practice address
- 350 John Deere Rd
Moline, IL 61265-6899 - Phone
- (309) 743-6700
- Fax
- (309) 764-2042
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001176 | IA | Primary |
Addresses
Primary practice location
350 John Deere Rd
Moline, IL 61265-6899
Mailing address
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2434
Phone (563) 324-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03265 | Other | IA | BCBS OF IA |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001176 | IA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1568414134
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1699734137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E RUSHOLME ST",
"address_2": "SUITE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032434",
"telephone_number": "563-324-2992",
"fax_number": "563-324-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 JOHN DEERE RD",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656899",
"telephone_number": "309-743-6700",
"fax_number": "309-764-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAESSLER",
"first_name": "LINDA",
"middle_name": "C",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IA",
"identifier": "03265",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.