Active NPI
Abigail R. Haselden, M.D.
- Pediatrics Physician
- Fort Wayne, IN
National Provider Identifier
1780926618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01077314A
- Practice address
- 7910 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4159 - Phone
- (260) 436-3789
- Fax
- (260) 436-2703
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01077314A | IN | Primary |
Addresses
Primary practice location
7910 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4159
Mailing address
7910 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4159
Phone (260) 436-3789
Other names 1
- Mrs. Abigail R Kleber
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077314A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
Locations
7910 W Jefferson Blvd
Ste 201
Fort Wayne, IN 46804
Phone (260) 436-3789
Interoperability endpoints
- ahaselden@paik.ssdirect.aprima.com
- https://fhir-myrecord.cerner.com/r4/1ba56762-29f3-48fc-ab7a-bea5f733932b/
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.
-
- Pediatrics Physician
- Fort Wayne, IN
- NPI 1659375079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1780926618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 W JEFFERSON BLVD STE 201",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044159",
"telephone_number": "260-436-3789",
"fax_number": "260-436-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 W JEFFERSON BLVD STE 201",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044159",
"telephone_number": "260-436-3789",
"fax_number": "260-436-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELDEN",
"first_name": "ABIGAIL",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01077314A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "KLEBER",
"middle_name": "R",
"prefix": "MRS.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.