DR. CARL E HAISCH (NPI# 1669464475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464475 |
| Entity Type | Individual |
| Full Name | DR. CARL E HAISCH |
| Credential | MD |
| Practice Address |
517 Moye Blvd Fl 1 Ecu Physicians Transplant Surgery Greenville NC 27834-2849 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527442620 |
| Practice Fax Number | 2527443452 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
24009 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 020033823 | 01 |
| NC | BCBS NC | 38264 | 01 |
| NC | 7938264 | 05 |
| Street Address |
517 MOYE BLVD FL 1 ECU PHYSICIANS TRANSPLANT SURGERY |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174878169 | Rebecca Ann Scarborough | Dietitian, Registered | 517 Moye Blvd Fl 1, Ecu Physicians Surgery, Greenville, NC 27834-2849 | 2012-07-17 |
| 1104096650 | Susan Christine Clark | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Surgery - Moye Medical Center #2, Greenville, NC 27834-2849 | 2008-03-11 |
| 1427115823 | Dustin Miguel Bermudez | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Surgery, Moye Medical Center #2, Greenville, NC 27834-2849 | 2007-01-03 |
| 1881678654 | Richard F Williams | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians General Surgery, Greenville, NC 27834-2849 | 2005-12-05 |
| 1467435503 | Eric A Toschlog | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Critical Care Surgery, Greenville, NC 27834-2849 | 2005-11-22 |
| 1255326898 | Walter J Pories | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians General Surgery, Greenville, NC 27834-2849 | 2005-09-20 |
| 1952396814 | Walter E Pofahl II | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians General Surgery, Greenville, NC 27834-2849 | 2005-09-16 |
| 1326030123 | Claudia E Goettler | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Trauma & Critical Care, Greenville, NC 27834-2849 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467435503 | Eric A Toschlog | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Critical Care Surgery, Greenville, NC 27834-2849 | 2005-11-22 |
| 1174518666 | Mark A Newell | Surgery | 521 Moye Blvd Fl 1, Ecu Physicians Trauma & Critical Care, Greenville, NC 27834-2849 | 2005-09-12 |
| 1326030123 | Claudia E Goettler | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Trauma & Critical Care, Greenville, NC 27834-2849 | 2005-08-17 |
| 1316944713 | Michael R Bard | Surgery | 600 Moye Blvd, Brody Outpatient Center, Greenville, NC 27834-4300 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922113299 | Ronald Hardin | Surgery | 4008 Burnett-womack Building Cb# 7228, Chapel Hill, NC 27599-7228 | 2006-08-20 |
| 1689149825 | Camille Mccutcheon Buchanan | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-10-03 |
| 1508348665 | Brian Thomas Shanahan | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-09-05 |
| 1013325281 | Cumberland County Hospital System, Inc | Surgery | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2014-07-31 |
| 1336401900 | Talitha Brown | Surgery | Medical Center Blvd, Winston Salem, NC 27157-3018 | 2012-06-11 |
| 1821382839 | Scott Michael John | Surgery | 1 Hospital Dr Ste 4200, Asheville, NC 28801 | 2011-06-07 |
| 1881914927 | Mandy Rebecca Maness | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-10 |
| 1295058857 | Mission Medical Associates Inc | Surgery | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2010-03-10 |
| 1407032055 | Piedmont Surgical Clinic, Pa | Surgery | 431 Copperfield Blvd Ne, Concord, NC 28025-3035 | 2008-01-14 |
| 1346335585 | Preston B Rich | Surgery | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. CARL E HAISCH.
| 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.