Michael Haecherl, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0051097 Issued in OK

Practice address

1705 W 2ND St
Elk City, OK 73644-4455

Phone

(580) 225-2511

NPI assigned

Jan 24, 2006

Last updated

May 14, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kiowa County Hospital AuthorityGroup PAC ID 7416948500, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elkview General Hospital Hospital, Hobart, OK, CCN 370783

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiowa County Hospital Authority

  dba Elkview General Hospital

  • Rural Acute Care Hospital
  • Hobart, OK
  • NPI 1699758086
  Medicare reassignment Care Compare group NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Chickasha, OK
  • NPI 1962469098
  Medicare reassignment NPD
• Southwestern Oklahoma Surgical Associates, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawton, OK
  • NPI 1841952397

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Medicare reassignment
• Dakota Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Elk City, OK
  • NPI 1396715348
  Authorized official Same address or phone
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Norman, OK
  • NPI 1881499655
  NPD
• Kiowa County Hospital Authority

  dba Elkview Physician Group

  • Rural Health Clinic/Center
  • Hobart, OK
  • NPI 1255823282
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kiowa County Hospital Authority

  dba Elkview General Hospital

  • Rural Acute Care Hospital
  • Hobart, OK
  • NPI 1699758086
  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1811967862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47923",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017923",
            "telephone_number": "316-685-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 2ND ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444455",
            "telephone_number": "580-225-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAECHERL",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0051097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430013372",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100787290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Corey Gregg
• Aubrey Grubitz
• Jenny Leah Guajardo, M.ED., LPC
• Hac, Inc. (Homeland)
• Hac, Inc. (Homeland Pharmacy #170)
• Sandra Jean Hageman
• Shelton Hagerman
• Brandi Lynn Hamilton, BSW
• Amanda Hammond
• Roudie Harbert

• Certified Registered Nurse Anesthetist in Elk City, OK
• Providers in Elk City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.