Provider Demographics
NPI:1235121062
Name:HASS, ALBERT CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:CURTIS
Last Name:HASS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:A
Other - Middle Name:CURTIS
Other - Last Name:HASS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-7609
Mailing Address - Fax:319-384-5902
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-7609
Practice Address - Fax:319-384-5902
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA163842085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1221036Medicaid
IA45565OtherWELLMARK BCBS
IAI21854Medicare PIN
IA45565OtherWELLMARK BCBS
IAI6025Medicare PIN
IA920006938Medicare PIN