Organization Active NPI

Nelson S Haas MD PC

  • Occupational Medicine Clinic/Center
  • Newport, VT
National Provider Identifier
1902212145
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
042-0010304 Issued in VT
Legal business name
NELSON S HAAS MD PC
Practice address
1734 Crawford Farm Rd
Newport, VT 05855-4509
Phone
(802) 334-9300
Fax
(802) 334-9299
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Nelson Stuart Haas, M.D
Title
Medical Director
Phone
(802) 334-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 042-0010304 VT Primary

Addresses

Primary practice location

1734 Crawford Farm Rd
Newport, VT 05855-4509

Mailing address

1734 Crawford Farm Rd
Newport, VT 05855-4509
Phone (802) 334-9300

Other identifiers 1

IdentifierTypeStateIssuer
OVN2803MedicaidVT

Other names 1

  • North Star Occupational Medicine Other name

National Provider Directory

National Provider Directory

Locations

1734 Crawford Rd
Newport, VT 05855
Phone (802) 334-4191

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1902212145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 CRAWFORD FARM RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554509",
            "telephone_number": "802-334-9300",
            "fax_number": "802-334-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 CRAWFORD FARM RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554509",
            "telephone_number": "802-334-9300",
            "fax_number": "802-334-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON S HAAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "802-334-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "VT",
            "license": "042-0010304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2803",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Occupational Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.