Individual provider Active NPI

Terry A Haag, DO

  • Obstetrics & Gynecology Physician
  • Davenport, FL
National Provider Identifier
1841383197
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS10169 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09806OtherFLBCBS OF FLORIDA
036113969MedicaidIL
280166300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090107000419 FL Practitioner - Obstetrics/Gynecology 4880677806 Reassigns benefits to 1 organization
I20231114002511 ME Practitioner - Obstetrics/Gynecology 4880677806 Reassigns benefits to 1 organization

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
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 3, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 13, 2015 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 13, 2015 Accepting new patients
Central Maine Medical Center CurrentSince Nov 3, 2023 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Sources for this page

Verify at the official NPI Registry.