Holly J Haight, MD | |
300 Pasteur Dr # R-105, Stanford, CA 94305-2200 | |
(650) 725-5903 | |
Not Available |
Full Name | Holly J Haight |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 300 Pasteur Dr # R-105, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083693923 | NPI | - | NPPES |
529115100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 45726 (Minnesota) | Secondary |
207X00000X | Orthopaedic Surgery | A98489 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Holly J Haight, MD 300 Pasteur Dr # R-105, Stanford, CA 94305-2200 Ph: (650) 725-5903 | Holly J Haight, MD 300 Pasteur Dr # R-105, Stanford, CA 94305-2200 Ph: (650) 725-5903 |
Matthew Lorenc Soderlund, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Seth Lawrence Sherman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kirkham Berwick Wood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Calvin Eric Hwang, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Joseph Eric Koressel, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Matthew David Miller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |