Organization Active NPI

Roderick C. Haff, MD, PA

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1750610143
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E7613 Issued in TX
Legal business name
RODERICK C. HAFF, MD, PA
Practice address
15135 Delachaise St
San Antonio, TX 78232-4226
Phone
(210) 479-2231
Fax
(210) 479-2281
NPI assigned
Dec 14, 2009
Last updated
Dec 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Roderick Canavan Haff, M.D.
Title
President
Phone
(210) 479-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E7613 TX Primary

Addresses

Primary practice location

15135 Delachaise St
San Antonio, TX 78232-4226

Mailing address

15135 Delachaise St
San Antonio, TX 78232-4226
Phone (210) 479-2231

Other identifiers 1

IdentifierTypeStateIssuer
15123386501092395501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1750610143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15135 DELACHAISE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324226",
            "telephone_number": "210-479-2231",
            "fax_number": "210-479-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15135 DELACHAISE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324226",
            "telephone_number": "210-479-2231",
            "fax_number": "210-479-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK C. HAFF, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "HAFF",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "CANAVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-479-2231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E7613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15123386501092395501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.