Provider Demographics
NPI:1780659847
Name:HAUGHT, W. MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:W.
Middle Name:MICHAEL
Last Name:HAUGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 N POINTE BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4134
Mailing Address - Country:US
Mailing Address - Phone:717-569-6481
Mailing Address - Fax:717-569-5213
Practice Address - Street 1:160 N POINTE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4134
Practice Address - Country:US
Practice Address - Phone:717-569-6481
Practice Address - Fax:717-569-5213
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070802L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7904121OtherAETNA NON-HMO
PA2339588OtherAETNA HMO
PA1121118OtherAMERIHEALTH MERCY
PA44263 S1BXOtherGEISINGER HEALTH PLAN
PA0018024700001Medicaid
PA193687OtherHIGHMARK BLUE SHIELD
PA01712401OtherCAPITAL BLUE CROSS
PAP002652OtherGATEWAY HEALTH PLAN
PAH13245OtherHEALTH ASSURANCE
PA1121118OtherAMERIHEALTH MERCY HEALTH
PA01712401OtherCAPITAL BLUE CROSS
PA0018024700001Medicaid