Provider Demographics
NPI:1639130982
Name:HAAGA, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:HAAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:926 RANSOM SILVERS RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-8062
Mailing Address - Country:US
Mailing Address - Phone:828-675-9040
Mailing Address - Fax:828-765-5877
Practice Address - Street 1:800 MEDICAL CAMPUS DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-9010
Practice Address - Country:US
Practice Address - Phone:828-682-0200
Practice Address - Fax:828-682-6858
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC27196207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC34U011OtherMEDICARE SWINGBED
NC411013849OtherMEDICARE RAILROAD
NC8907673OtherMEDICAID PHYSICIAN
NC00513OtherBCBS
NC3400011OtherMEDICAID OSCAR
NC37991OtherBCBS
NC07673OtherBCBS PHYSICIAN
NC014MXOtherBCBS LABS
NC0081POtherBCBS SWINGBED
NC8937991Medicaid
NC014MXOtherBCBS LABS
NC8907673OtherMEDICAID PHYSICIAN
NC37991OtherBCBS
NC340011Medicare Oscar/Certification