Dr. Kenan Edward Haver

M.D. | Pediatric Pulmonology | Male

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Complete Profile:

Dr. Kenan Edward Haver basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Dr. Kenan Edward Haver
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Kenan Edward Haver address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	300 Longwood Ave, Division Of Respiratory Diseases Boston, MA, 02115-5724 United States
Phone Number :	617-355-1900
Fax Number :	617-730-0246

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1548250228
NPI Entity Type :	Individual
First Enrolment Date :	25 Oct, 2005
Last Updated On :	16 Nov, 2020

Medicare Participation:

Dr. Kenan Edward Haver participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6800883729
Medicare Enrollment ID :	I20040430000395
Primary Specialty :	Pediatric Medicine
Medical School :	New York Medical College
Graduation Year :	1984
Accepts Medicare?	Yes. Dr. Kenan Edward Haver accepts medicare insurance.

Group Practice Association:

Dr. Kenan Edward Haver is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kenan Edward Haver is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Pediatric Associates, Inc	3476541830	231	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenan Edward Haver are as mentioned. Primary taxonomy code for Dr. Kenan Edward Haver, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	59356	MA

Legacy Identifiers:

Other legacy medical identifiers of Dr. Kenan Edward Haver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
059356	Other	MA	TUFTS HEALTH PLAN
110049658A	MEDICAID	MA
J10856	Other	MA	BCBS MA
S400170197	Other	MA	MEDICARE

Other Practice Locations:

Practice Address	City, State	Phone Number
55 LAKE AVE N, WORCESTER, MA, 01655-0002 United States	WORCESTER, MA	508-856-4155

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 Longwood Ave, Division Of Respiratory Diseases Boston, MA, 02115-5724 United States
Phone Number :	617-355-1900
Fax Number :	617-730-0246

Business Location:

Patients can refer following map for directions to Dr. Kenan Edward Haver practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.