John Haastrup, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301091214 Issued in MI

Practice address

912 N Kentucky Ave # A16
Madisonville, KY 42431-1663

Phone

(270) 825-0813

NPI assigned

Feb 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Scioto Family and Behavioral Medicine

  • Medical Specialty Clinic/Center
  • Portsmouth, OH
  • NPI 1619440377
  Medicare reassignment NPD Authorized official
• Scioto Family and Behavioral Medicine

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
  • NPI 1063074771
  NPD

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1760660765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N KENTUCKY AVE # A16",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311663",
            "telephone_number": "270-825-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N KENTUCKY AVE # A16",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311663",
            "telephone_number": "270-825-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASTRUP",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301091214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancie Anne Gruber, PT
• Julie Marie Guess, APRN
• Guynn Developmental Intervention
• Robin Guynn
• James Greg Haag, DMD
• Candace Martina Hack, APRN
• Tracy R Hagan, AOCNP
• Amanda Marie Halcomb, OTR/L
• Jason Haley
• Brittany Hall, RDN, CDE

• Family Medicine Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.