Lester Timothy Haag, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM0000000603 Issued in TN

Practice address

9325 Apison Pike
Suite 137
Ooltewah, TN 37363-8369

Phone

(423) 653-2550

NPI assigned

Feb 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dahlberg Family Chiropractic

  dba Adam Dahlberg

  • Chiropractor
  • Ooltewah, TN
  • NPI 1265169957
  NPD (past)
• Highpoint Foot and Ankle Center LLC

  • Podiatrist
  • Chalfont, PA
  • NPI 1912060054

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1952579658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 APISON PIKE",
            "address_2": "SUITE 137",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638369",
            "telephone_number": "423-653-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 APISON PIKE",
            "address_2": "SUITE 137",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638369",
            "telephone_number": "423-653-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "LESTER",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0000000603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "103I484562",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gulch, APRN, NP
• John P Gunter, MD
• Haag Foot and Ankle PLLC
• Cheryl A. Haag
• Kevin Timothy Haag, DPM
• Robina Habib, DMD
• Bonny M Hadacek, RN
• Halcyon Healthcare, LLC
• Halcyon Senior Services of Barron, LLC
• Halcyon Senior Services of Osseo, LLC

• Foot & Ankle Surgery Podiatrist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.