Organization Active NPI

Kenneth F Haas M D P a

  • Gastroenterology Physician
  • Okeechobee, FL
National Provider Identifier
1871748269
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME77693 Issued in FL
Legal business name
KENNETH F HAAS M D P A
Practice address
115 NE 3Rd St
Okeechobee, FL 34972-2901
Phone
(863) 357-7447
Fax
(863) 357-1844
NPI assigned
Nov 26, 2008
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Kenneth F Haas, MD PANPI 1629031083
Title
President
Phone
(863) 357-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME77693 FL Primary

Addresses

Primary practice location

115 NE 3Rd St
Okeechobee, FL 34972-2901

Mailing address

115 NE 3Rd St
Okeechobee, FL 34972-2901
Phone (863) 357-7447

National Provider Directory

National Provider Directory

Locations

115 NE 3rd St
Okeechobee, FL 34972
Phone (561) 863-8240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1871748269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722901",
            "telephone_number": "863-357-7447",
            "fax_number": "863-357-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722901",
            "telephone_number": "863-357-7447",
            "fax_number": "863-357-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F HAAS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-357-7447",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME77693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.