Active NPI
Terry A Haag, DO
- Obstetrics & Gynecology Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS10169
- Practice address
- 978 Heritage Pass
Davenport, FL 33896-9117 - Phone
- (407) 635-5958
- Fax
- (321) 841-2755
- NPI assigned
- Oct 1, 2006
- Last updated
- Jul 22, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS10169 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 9185491-1204 | UT |
Addresses
Primary practice location
978 Heritage Pass
Davenport, FL 33896-9117
Mailing address
83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-5281
Other practice location 1
83 W Miller St
Orlando, FL 32806-2028
Phone (321) 841-5281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09806 | Other | FL | BCBS OF FLORIDA |
| 036113969 | Medicaid | IL | |
| 280166300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.02 of 100
- Quality
- 59.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Community Hospital Family Practice LLC | Past | Accepting new patients |
Locations
978 Heritage Pass
Davenport, FL 33896
Phone (407) 635-5956
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-2935
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- thaag25804@orlandohealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Northpointe Physicians Group
- Geriatric Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1902094857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1841383197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-841-5281",
"fax_number": "407-648-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 HERITAGE PASS",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338969117",
"telephone_number": "407-635-5958",
"fax_number": "321-841-2755"
}
],
"practiceLocations": [
{
"address_1": "83 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062028",
"country_code": "US",
"telephone_number": "321-841-5281",
"fax_number": "407-648-9879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAG",
"first_name": "TERRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS10169",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "9185491-1204",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "09806",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036113969",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280166300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
- Ana Isabel Gutierrez
- Greivis Jose Gutierrez Sr.
- Roselia Gutierrez
- Tamara Ivelisse Guzman Rodriguez, MD
- Gerson Guzman, MS, CCC-SLP
- Tamara Whiteman Haberman, LCSW
- Haines City Hma LLC (Heart of Florida Regional Medical Center)
- Haines City Hma Physician Management, LLC
- Oliver F Hamilton Jr., M.D.
- Muriel Hanna
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.