Basic Information
| Provider Information | |||||||||
| NPI: | 1376531269 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAAS | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | A | ||||||||
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| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 125 METRO CENTER BOULEVARD SUITE 2000 | ||||||||
| Address2: | |||||||||
| City: | WARWICK | ||||||||
| State: | RI | ||||||||
| PostalCode: | 02886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014322520 | ||||||||
| FaxNumber: | 4019219212 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 METRO CENTER BOULEVARD SUITE 2000 | ||||||||
| Address2: | |||||||||
| City: | WARWICK | ||||||||
| State: | RI | ||||||||
| PostalCode: | 02886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014322520 | ||||||||
| FaxNumber: | 4019219212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2005 | ||||||||
| LastUpdateDate: | 10/27/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 10/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 6614 | RI | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | MD06614 | RI | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0204X | 06614 | RI | N | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2085R0204X | MD06614 | RI | Y | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
ID Information
| ID | Type | State | Issuer | Description | 006614 | 01 | BLUESHIELD | OTHER | 006614 | 01 | TUFTS | OTHER | 00700608 | 01 | HOSPITAL PIN | OTHER | 000000001988 | 01 | NHPRI | OTHER | 003790 | 01 | BLUECHIP | OTHER | 050318025 | 01 | UNICARE | OTHER | 240169 | 01 | W AND I PILGRIM | OTHER | 7000608 | 01 | RI | MEDICAL ASSISTANCE | OTHER | 720052801 | 01 | CIGNA | OTHER | 003117307 | 01 | CT | MED ASSISTANCE | OTHER | 003790 | 01 | BLUECHIP SENIORS | OTHER | 0108651 | 01 | HEALTHY START | OTHER | 240079 | 01 | RIH PILGRIM | OTHER | 0600203 | 01 | UNITED HEALTH PLANS | OTHER | 0108651 | 05 | MA | MEDICAID | 6614 | 01 | FEP BLUECROSS | OTHER |