KARL J. HAAKE (NPI# 1003801747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003801747 |
| Entity Type | Individual |
| Full Name | KARL J. HAAKE |
| Credential | MD |
| Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
| Mailing Address |
Po Box 11521 Shawnee Mission KS 66207-4221 |
| Practice Telephone | 9132619081 |
| Practice Fax Number | 9132619081 |
| Mailing Telephone | 9132619081 |
| Mailing Fax Number | 9132619081 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2002003282 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | 050089107 | 01 |
| MO | 205804404 | 05 |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
| 1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
| 1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
| 1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
| 1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
| 1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
| 1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
| 1255782850 | Stephen Malutich | Internal Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035503 | Ora Orthopedics, PC | Anesthesiology | 2900 S 25th St Ste B2, Clinton, IA 52732-7250 | 2019-10-25 |
| 1386171510 | Privium Consultants LLC | Anesthesiology | 7801 Old Branch Ave Ste 202, Clinton, MD 20735-1642 | 2017-05-18 |
| 1801086558 | Sampson Regional Medical Services LLC | Anesthesiology | 607 Beaman St, Anesthesia Department, Clinton, NC 28328-2603 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088900 | Midwest Pain Management Clinic LLC | Anesthesiology | 1011 Old Olive Way Apt 403, Creve Coeur, MO 63141-5959 | 2017-12-08 |
| 1235579749 | Nicki D Rippeteau | Anesthesiology | 4606 E 184th St, Belton, MO 64012-8323 | 2013-06-28 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1265727572 | Rebecca A Sanders | Anesthesiology | 1002 Mcintosh Cir Ste 6, Joplin, MO 64804-3600 | 2011-06-15 |
| 1457655748 | Melrich Inc | Anesthesiology | 625 Cannonbury Dr, Saint Louis, MO 63119-5312 | 2010-12-31 |
| 1700016250 | Oluseyi Fadegbola Ogundimu | Anesthesiology | 661 Fisher Dr, Sullivan, MO 63080-1533 | 2009-07-17 |
| 1467640235 | Shavonne L. Danner, M.d., L.L.C. | Anesthesiology | 2525 Glenn Henden Dr, Liberty, MO 64068 | 2007-10-05 |
| 1225171648 | Benjamin A Lampert | Anesthesiology | 1730 E Portland St, Springfield, MO 65804-1311 | 2007-02-15 |
| 1972651578 | Advanced Pain Specialists, Inc. | Anesthesiology | 7510 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.