Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871612515 Individual Practitioner Male Practitioner

Dr. Paul M Haidak , MD

General Practice • Tullahoma, TN

Professional Overview & Biography Verified Profile Summary

Dr. Paul Haidak, MD is a registered healthcare professional specializing in General Practice in Tullahoma, TN. Practice services are available at 105 LEDFORD MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Ledford Mill Rd
Suite B

Tullahoma, TN 373888261

Telephone 9318413311
Fax 9318413314
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tullahoma, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 34.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Tullahoma, TN (202 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-15
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 44645

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License TN 44645

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License TN 44645

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Preventive Medicine - Addiction Medicine

NUCC Taxonomy Code: 2083A0300X

State License TN 44645

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kellie Marsh , APRN

Nurse Practitioner

NPI 1023544301

Advanced Practice Registered Nurse

Dr. Robert Kasa , MD

General Practice

NPI 1891793956

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 09, 2021

Registered at 105 LEDFORD MILL RD STE B, TULLAHOMA, TN 373888262 (Tel: 9318413311)

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2013

Registered at 105 LEDFORD MILL RD, SUITE B, TULLAHOMA, TN 373888261 (Tel: 9318413311)

📍
Updated Business Mailing Address September 04, 2013

Registered at PO BOX 220, TULLAHOMA, TN 373880220 (Tel: 9318413311)

👤
Provider Name / Credentials Updated September 04, 2013

Recorded as PAUL HAIDAK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Plastic Surgery (License #44645 in TN)

🟢
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871612515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: March 15, 2024
Sole Proprietor: Yes

Mailing Address

105 Ledford Mill Rd Ste B

Tullahoma, TN 373888262

Phone: 9318413311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.