Active NPI
Constance Kay Haan, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Billings, MT
National Provider Identifier
1790750305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME85414
- Practice address
- 3723 Central Ave
Billings, MT 59102 - Phone
- (406) 281-5344
- NPI assigned
- Feb 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME85414 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME85414 | FL | Primary |
Addresses
Primary practice location
3723 Central Ave
Billings, MT 59102
Mailing address
5245 Merlot LN
Billings, MT 59106-2302
Phone (406) 927-2571
Other practice location 1
5245 Merlot Ln
Billings, MT 59106-2302
Phone (406) 927-2571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2623595-00 | Medicaid | FL | |
| 000921236B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85414 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1790750305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 MERLOT LN",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591062302",
"telephone_number": "406-927-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 CENTRAL AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "406-281-5344"
}
],
"practiceLocations": [
{
"address_1": "5245 Merlot Ln",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591062302",
"country_code": "US",
"telephone_number": "406-927-2571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAN",
"first_name": "CONSTANCE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-18",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME85414",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME85414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623595-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000921236B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.