MR. DARYL T. HAAN (NPI# 1275527335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275527335 |
| Entity Type | Individual |
| Full Name | MR. DARYL T. HAAN |
| Credential | PA-C |
| Practice Address |
627 25 1/2 Road Grand Junction CO 81505-6401 |
| Practice Telephone | 9702423535 |
| Practice Fax Number | 9706238599 |
| Mailing Telephone | 9702423535 |
| Mailing Fax Number | 9706238599 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1361 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 25374826 | 05 | |
| CO | 05021847 | 05 |
| Street Address |
627 25 1/2 ROAD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1881245371 | Danielle Vesth | Physician Assistant | 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 | 2019-09-25 |
| 1356809941 | Megan Dighero | Physician Assistant | 2440 N 11th St, Grand Junction, CO 81501-8102 | 2019-03-04 |
| 1437634094 | Gabriel Deleon | Physician Assistant | 2373 G Rd Ste 280, Grand Junction, CO 81505-1006 | 2018-09-30 |
| 1669915088 | Dallin Davies | Physician Assistant | 2440 N 11th St, Grand Junction, CO 81501-8102 | 2016-12-03 |
| 1730437617 | Jason B Bell | Physician Assistant | 2373 G Rd, Suite 100, Grand Junction, CO 81505-9641 | 2012-08-26 |
| 1538459847 | Laken Renee Eyler | Physician Assistant | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2011-04-08 |
| 1063645992 | Elizabeth Moyle Carlson | Physician Assistant | 735 White Ave, Grand Junction, CO 81501-3441 | 2009-08-26 |
| 1891886503 | Gary Lee Blunk | Physician Assistant | 2373 G Rd, Suite 200, Grand Junction, CO 81505-9641 | 2006-09-27 |
| 1851498331 | Todd David Ousley | Physician Assistant | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2006-09-19 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on MR. DARYL T. HAAN.
| 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.