Provider Demographics
NPI:1275632028
Name:INGRID E. HAAS, M.D., P.C
Entity Type:Organization
Organization Name:INGRID E. HAAS, M.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-483-9011
Mailing Address - Street 1:10617 N HAYDEN RD
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5578
Mailing Address - Country:US
Mailing Address - Phone:480-483-9011
Mailing Address - Fax:480-483-2803
Practice Address - Street 1:10617 N HAYDEN RD
Practice Address - Street 2:SUITE B-102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5578
Practice Address - Country:US
Practice Address - Phone:480-483-9011
Practice Address - Fax:480-483-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13329174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0031990OtherBLUECROSS
AZ4123900OtherCIGNA
AZ0700328OtherUNITED HEALTHCARE
AZ0700328OtherUNITED HEALTHCARE
AZ4123900OtherCIGNA