MARK HAAG (NPI# 1417174541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174541 |
| Entity Type | Individual |
| Full Name | MARK HAAG |
| Practice Address |
3100 N Mountain View Dr Prescott Valley AZ 86314-2572 |
| Practice Telephone | 9287597072 |
| Mailing Telephone | 9287597072 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS IDENTIFICATION # | 839392 | 01 |
| Street Address |
3100 N MOUNTAIN VIEW DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164803433 | Nicole Scott | Specialist | 8603 E. Eastridge Drive, Suite A, Prescott Valley, AZ 86314 | 2015-06-12 |
| 1942608351 | Granite Orthopaedics, Pllc | Specialist | 2960 N Centre Ct, Prescott Valley, AZ 86314-2295 | 2014-12-17 |
| 1417364266 | Phyllis Arellanes | Specialist | 7426 E Horseshoe Ln, #b, Prescott Valley, AZ 86314-3297 | 2014-07-14 |
| 1548407091 | Carol Ann Pitts | Specialist | 8412 Sommer Dr, Prescott Valley, AZ 86314 | 2009-01-20 |
| 1568642643 | Denise N Antonio | Specialist | 1098 N Hobble Strap St, Prescott Valley, AZ 86314-1445 | 2007-11-06 |
| 1376681197 | Madelynn Grubbs | Specialist | 5427 N Long Rifle Rd, Prescott Valley, AZ 86314-4263 | 2007-02-02 |
| 1821158916 | Nancy Renee Smith | Specialist | 5347 N Stetson Dr, Prescott Valley, AZ 86314 | 2006-12-11 |
| 1154481240 | Kelley Lynn Haag | Specialist | 3100 Mountain View, Prescott Valley, AZ 86314-2572 | 2006-12-11 |
| 1508885047 | Mark B Davis | Specialist | 3237 N Windsong Drive, Prescott Valley, AZ 86314 | 2006-07-18 |
| 1780620484 | Nitin C Patel | Specialist | 3185 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2006-06-21 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on MARK HAAG.
| 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.