Active NPI
Brian Douglas Haak, CRNA
- Certified Registered Nurse Anesthetist
- Southaven, MS
National Provider Identifier
1730141771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN A810134
- Practice address
- 9140 Highway 51 N
Southaven, MS 38671-1233 - Phone
- (662) 280-8222
- Fax
- (662) 280-5541
- NPI assigned
- Apr 5, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN A810134 | MS | Primary |
Addresses
Primary practice location
9140 Highway 51 N
Southaven, MS 38671-1233
Mailing address
PO Box 740209
Dept 40038
Atlanta, GA 30374-0209
Phone (941) 360-1566
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82921 | TX | MD | Professional Counselor |
| 244 | AR | MD | Physical Therapist |
| APRN A810134 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahp of Orlando Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Outpatient Specialists | Past | Accepting new patients | |
| Mitchell County Hospital District | Past | Accepting new patients | |
| Ahp of Central Florida ASC LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Altamonte Springs LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 6
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
- Altamonte Springs, FL
- NPI 1861646515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Duluth, GA
- NPI 1881832434
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1700068194
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cape Coral, FL
- NPI 1922230150
-
- Skilled Nursing Facility
- Colorado City, TX
- NPI 1770989535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1730141771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740209",
"address_2": "DEPT 40038",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740209",
"telephone_number": "941-360-1566",
"fax_number": "941-358-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 HIGHWAY 51 N",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711233",
"telephone_number": "662-280-8222",
"fax_number": "662-280-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAK",
"first_name": "BRIAN",
"middle_name": "DOUGLAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "APRN A810134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.