Organization Active NPI

M Joshua Haber MD LLC

  • Sports Medicine (Family Medicine) Physician
  • Bend, OR
National Provider Identifier
1922143767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
18811 Issued in OR
Legal business name
M JOSHUA HABER MD LLC
Practice address
62968 O B Riley Rd
Building a-1
Bend, OR 97701-9442
Phone
(541) 389-4848
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Joshua Haber, MD
Title
Owner
Phone
(541) 389-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 18811 OR Primary

Addresses

Primary practice location

62968 O B Riley Rd
Building a-1
Bend, OR 97701-9442

Mailing address

PO Box 6673
Bend, OR 97708-6673
Phone (541) 389-4848

Other names 1

  • Non-Surgical Specialists Other name

National Provider Directory

National Provider Directory

Locations

62968 Riley Rd
Bldg A1
Bend, OR 97703
Phone (541) 389-4848

62968 Riley Rd
Ste A1
Bend, OR 97703
Phone (541) 389-4848

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922143767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6673",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086673",
            "telephone_number": "541-389-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62968 O B RILEY RD",
            "address_2": "BUILDING A-1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019442",
            "telephone_number": "541-389-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JOSHUA HABER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-389-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OR",
            "license": "18811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Non-Surgical Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.