NPIMap

Individual provider Active NPI

Norman W Haueisen, DO

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
National Provider Identifier
1942288626
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS-011083-L Issued in PA
Practice address
825 Sir Thomas CT
Suite B
Harrisburg, PA 17109-4839
Phone
(717) 652-8670
Fax
(717) 901-5009
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS-011083-L PA Primary

Addresses

Primary practice location

825 Sir Thomas CT
Suite B
Harrisburg, PA 17109-4839

Mailing address

825 Sir Thomas CT
Ste B
Harrisburg, PA 17109-4839
Phone (717) 652-8670

Other identifiers 1

IdentifierTypeStateIssuer
01886059MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000290 PA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2668427709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of New England, College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Valley Pain Management, P.C.Group PAC ID 8022063171, 6 clinicians

Practice addresses (Care Compare)

290 E Pomfret St
Carlisle, PA 17013-2579
Phone (717) 652-8670

5124 E Trindle Rd
Mechanicsburg, PA 17050-3688
Phone (717) 652-8670

825 Sir Thomas CT
Harrisburg, PA 17109-4839

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.38 of 100Reported as group
Quality
88.78
Improvement activities
40
Cost
69.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-011083-LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Valley Pain Management PC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2001 Accepting new patients
West Shore Pain and Spine Institute, LLC PastSince Dec 20, 2018 Accepting new patients
Harrisburg Interventional Pain MGMT Ctr PastSince Sep 13, 2004 Accepting new patients

Locations

290 E Pomfret St
Carlisle, PA 17013
Phone (717) 229-0121

825 Sir Thomas Ct
#B
Harrisburg, PA 17109

825 Sir Thomas Ct
Ste B
Harrisburg, PA 17109
Phone (717) 652-8670

825 Sir Thomas Ct
Ste A
Harrisburg, PA 17109
Phone (717) 901-5008

825 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 652-8670

175 Lancaster Blvd
Mechanicsburg, PA 17055
Phone (717) 691-3700

5124 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 652-8670

Interoperability endpoints

  • Direct secure messaging: drhaueisen@svpainclinic.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1942288626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT",
            "address_2": "STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT",
            "address_2": "SUITE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUEISEN",
        "first_name": "NORMAN",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS-011083-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01886059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.