Active NPI
Michelle M. Haendiges, M.D.
- Obstetrics & Gynecology Physician
- Kokomo, IN
National Provider Identifier
1891978060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01042810A
- Practice address
- 6361 W 90 S
Kokomo, IN 46901-8714 - Phone
- (765) 459-8000
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01042810A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 01042810A | IN | Primary |
Addresses
Primary practice location
6361 W 90 S
Kokomo, IN 46901-8714
Mailing address
6361 W 90 S
Kokomo, IN 46901-8714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01270917 | Other | IN | RR MEDICARE |
| 200145210 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1891978060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6361 W 90 S",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469018714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6361 W 90 S",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469018714",
"telephone_number": "765-459-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAENDIGES",
"first_name": "MICHELLE",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01042810A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01042810A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01270917",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200145210",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.