DR. DEREK VON HAAG (NPI# 1073507026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073507026 |
| Entity Type | Individual |
| Full Name | DR. DEREK VON HAAG |
| Credential | MD |
| Practice Address |
4892 N Stone Ave Suite 100 Tucson AZ 85704-5761 |
| Mailing Address |
2202 N Forbes Blvd Tucson AZ 85745-1412 |
| Practice Telephone | 5203961370 |
| Practice Fax Number | 5203961375 |
| Mailing Telephone | 5203961370 |
| Mailing Fax Number | 5203961375 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 32835 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 867898 | 05 |
| Street Address |
4892 N STONE AVE SUITE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-5761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033900 | Tricia Alvarez | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2018-08-15 |
| 1063965077 | Carrie Cannon | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2016-07-26 |
| 1558721951 | Smsj Tucson Holdings, LLC | Radiology | 4892 N Stone Ave, Suite 180, Tucson, AZ 85704-5761 | 2016-02-26 |
| 1982024246 | Rahim Khajeh | Family Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2014-04-24 |
| 1487804399 | T Bryson Struse Do Plc | Nuclear Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2008-09-27 |
| 1720057664 | T Bryson Struse | Nuclear Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2006-03-14 |
| 1275511503 | Mary Lynn Ruehl | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2006-01-06 |
| 1295713543 | T Bryson Struse | Nuclear Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2006-01-06 |
| 1922084094 | William C Ludt | Internal Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2005-12-20 |
| 1528043395 | William C Inboden | Family Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2005-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609212497 | Joseph Donald Marco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4825 South Manning Camp Ct, Tucson, AZ 85747 | 2013-05-20 |
| 1467795054 | Christopher Piercecchi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Savahs 3601 S 6th Ave, Tucson, AZ 85775-2303 | 2013-04-01 |
| 1164729711 | Burt Solomon Strug | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2801 N. Camino Principal, Tucson, AZ 85715-3112 | 2011-02-17 |
| 1184870560 | Desert Heart Surgery Specialists, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7850 N Silverbell Rd Ste 114-360, Tucson, AZ 85743-8219 | 2008-08-17 |
| 1871691832 | Thomas D Lampros | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4892 N. Stone Ave., Suite 100, Tucson, AZ 85704-5761 | 2006-09-21 |
| 1225136351 | Vein Essentials Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3987 E Paradise Falls Dr, Suite 119, Tucson, AZ 85712-6692 | 2006-09-20 |
| 1629037346 | Michael F Teodori | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5771 N Campbell Ave, Tucson, AZ 85718-4217 | 2006-03-21 |
| 1205174794 | Toshinobu Kazui | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 N Campbell Ave, Tucson, AZ 85724-5071 | 2013-01-18 |
| 1730351644 | Brian Kevin Madigan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-03-31 |
| 1184771107 | Yvonne Marie Carter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2007-01-04 |
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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.