Organization Active NPI

Ali E Haas MD PA

Doing business as Venice Plastic Surgery

  • Plastic Surgery Physician
  • Venice, FL
National Provider Identifier
1902924020
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ALI E HAAS MD PA
Doing business as
Venice Plastic Surgery
Practice address
836 Sunset Lake Blvd Ste 103
Venice, FL 34292-7555
Phone
(941) 492-4775
Fax
(941) 492-6650
NPI assigned
Mar 27, 2007
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Ali Ekrem Haas, MDNPI 1962513168
Title
Owner
Phone
(941) 492-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

836 Sunset Lake Blvd Ste 103
Venice, FL 34292-7555

Mailing address

836 Sunset Lake Blvd Ste 103
Venice, FL 34292-7555
Phone (941) 492-4775

Other names 1

  • Venice Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000196 FL Part B Supplier - Clinic/Group Practice 8224106893 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

836 Sunset Lake Blvd
Ste 103
Venice, FL 34292
Phone (941) 492-4775

Practitioners & affiliated clinicians

Practitioners 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1902924020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD STE 103",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927555",
            "telephone_number": "941-492-4775",
            "fax_number": "941-492-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD STE 103",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927555",
            "telephone_number": "941-492-4775",
            "fax_number": "941-492-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI E HAAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "EKREM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-492-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.