Active NPI
Ehsan Ul Haq, M.D.
- Internal Medicine Physician
- Springfield, OH
National Provider Identifier
1881977098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35036465
- Practice address
- 2555 Creekwood CT
Springfield, OH 45504-4056 - Phone
- (937) 327-0552
- Fax
- (937) 327-0556
- NPI assigned
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35036465 | OH | |
| Internal Medicine Physician | 207R00000X | 35036465 | OH | Primary |
Addresses
Primary practice location
2555 Creekwood CT
Springfield, OH 45504-4056
Mailing address
9765 Buckhorn Dr
Frisco, TX 75033-1320
Phone (312) 330-3367
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35036465 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandu Budev MD M R C P | Internal Medicine | Past | Accepting new patients |
| Geriatric Providers Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1396922027
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1407918279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1881977098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9765 BUCKHORN DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331320",
"telephone_number": "312-330-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 CREEKWOOD CT",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455044056",
"telephone_number": "937-327-0552",
"fax_number": "937-327-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQ",
"first_name": "EHSAN",
"middle_name": "UL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35036465",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35036465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.