Individual provider Active NPI

Scott A Haga, PAC

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1730162199
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008262RX Issued in OH
Practice address
446 Morgan St
Cincinnati, OH 45206-2348
Phone
(513) 834-7063
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003638 MI
Physician Assistant 363A00000X 50.008262RX OH Primary

Addresses

Primary practice location

446 Morgan St
Cincinnati, OH 45206-2348

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

75 Sheldon Blvd SE
Suite 100 and 101
Grand Rapids, MI 49503-4224
Phone (616) 391-2420

Other identifiers 1

IdentifierTypeStateIssuer
8321135MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120607000537 MI Practitioner - Physician Assistant 9537259866 Reassigns benefits to 1 organization
I20230818002356 OH Practitioner - Physician Assistant 9537259866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003638MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jul 24, 2023 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 19, 2012 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

75 Sheldon Ave SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 391-2420

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763

5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959

421 Home St
Georgetown, OH 45121
Phone (937) 378-7510

4483 US N 42
Mason, OH 45040
Phone (513) 536-0050

1405 11th St
Portsmouth, OH 45662
Phone (740) 354-7718

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

Organizations & group practices 3

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1730162199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MORGAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062348",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Sheldon Blvd SE",
            "address_2": "SUITE 100 AND 101",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034224",
            "country_code": "US",
            "telephone_number": "616-391-2420",
            "fax_number": "616-391-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGA",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003638",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008262RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8321135",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.