Kris a Haase DPM PLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

KH001672 Issued in MI

Legal business name

KRIS A HAASE DPM PLC

Practice address

7116 Highland Rd
Waterford, MI 48327-1503

Phone

(248) 666-8807

Fax

(248) 666-7709

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kris A Haase, DPMNPI 1912906751

Title

Owner

Phone

(248) 666-8807

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kris a Haase DPM PLC

  • Durable Medical Equipment & Medical Supplies
  • Waterford, MI
  • NPI 1073650206
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris A Haase, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
  • NPI 1912906751
  Medicare reassignment Care Compare group NPD Authorized official
• Zackary Joseph Clor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
  • NPI 1497497903
  Medicare reassignment Care Compare group NPD
• Vincent Andrew Lefler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mt Pleasant, MI
  • NPI 1720641608
  Medicare reassignment NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1922054220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS A HAASE DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-666-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "KH001672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0F36074",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033238",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1073650206",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "1922054220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4856359200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C8124",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7599462",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1922054220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Kramer
• Maria Kraska
• Kevin Krawczyk
• Robert Clark Krichbaum Jr., CPNP
• Kris a Haase DPM PLC
• Kroger Co of Michigan
• Jaine Krzykwa, DOULA
• Ewa Anna Kubicz, LMSW
• Navneet Kumar, M.D.
• L & L Resources LLC

• Foot & Ankle Surgery Podiatrist in Waterford, MI
• Providers in Waterford, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.