Active NPI
Jason James Haselhuhn, DO
- Orthopaedic Surgery Physician
- Minneapolis, MN
National Provider Identifier
1720699523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 72184
- Practice address
- 2512 S 7TH St Ste R200
Minneapolis, MN 55454-1404 - Phone
- (612) 273-1177
- NPI assigned
- Aug 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 72184 | MN | Primary |
| Surgery Physician | 208600000X | RL16832 | ND |
Addresses
Primary practice location
2512 S 7TH St Ste R200
Minneapolis, MN 55454-1404
Mailing address
2512 S 7TH St Ste R200
Minneapolis, MN 55454-1404
Phone (612) 273-1177
Other practice location 1
1301 N Columbia Rd, Stop 9037
UND Department of Surgery
Grand Forks, ND 58202-9037
Phone (701) 293-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123003400 | ND | Order and Referring Only - General Surgery | 1951712942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72184 | MN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette Children'S Specialty Healthcare | 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.
-
- Multi-Specialty Clinic/Center
- Minnetonka, MN
- NPI 1598824880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725753600000",
"number": "1720699523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 S 7TH ST STE R200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541404",
"telephone_number": "612-273-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 S 7TH ST STE R200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541404",
"telephone_number": "612-273-1177"
}
],
"practiceLocations": [
{
"address_1": "1301 N Columbia Rd, Stop 9037",
"address_2": "UND Department of Surgery",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582029037",
"country_code": "US",
"telephone_number": "701-293-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASELHUHN",
"first_name": "JASON",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2024-09-08",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "72184",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "RL16832",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.