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DR. MATTHEW RYAN HAACK M.D. NPI 1811186828


NPI Information

NPI: 1811186828
Provider Name: DR. MATTHEW RYAN HAACK, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA
ZIP 30115
Phone: (678) 493-2527
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DR. Matthew Ryan Haack, M.D. is a pulmonary disease internal medicine in Canton, GA with 17 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Matthew Ryan Haack, M.D. NPI is 1811186828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA
ZIP 30115-017
Phone: (678) 493-2527
Fax: (678) 493-5608

The NPI 1811186828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Determination of lung volumes using plethysmography (HCPCS:94726)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Test for exercise-induced lung stress (HCPCS:94618)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 10/16/2007 and was last updated on 4/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine5643NEBRASKANo
2207RC0200XInternal MedicineCritical Care Medicine070192GEORGIANo
3207RP1001XInternal MedicinePulmonary Disease070192GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003137391AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.