MEDICARE: MR. ERIC J HAACKE-GOLDEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101228662	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C08279	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013904515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC J HAACKE-GOLDEN MD

Provider Business Mailing Address
First Line	:	3400 HAYDENPARK LN STE 300
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7867
Country	:	US
Telephone Number	:	804-998-1600
Fax Number	:	804-323-1276

Provider Business Practice Location Address
First Line	:	3400 HAYDENPARK LN STE 300
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7867
Country	:	US
Telephone Number	:	804-998-1600
Fax Number	:	804-998-1601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	04/23/2024

Similar Medicare Providers

1336152511 — MARK G PETRIZZI MD
Practice Location Address:

3400 HAYDENPARK LN STE 300
HENRICO, VA
23233-7867

Practice Phone: 804-998-1600
Practice Fax: 804-998-1601

1477757888 — DR. SAMUEL COLT BRINKLEY D.C.
Practice Location Address:

3400 HAYDENPARK LN STE 300
HENRICO, VA
23233-7867

Practice Phone: 800-404-6050
Practice Fax: 866-313-3397

1093971053 — DR. ELIZABETH R. BIGELOW M.D.
Practice Location Address:

3400 HAYDENPARK LN STE 300
HENRICO, VA
23233-7867

Practice Phone: 804-998-1600
Practice Fax: 804-282-0676

1386081016 — ARIADNE HERNANDEZ DONGIEUX DDS
Practice Location Address:

3400 HAYDENPARK LN STE 201
HENRICO, VA
23233-7867

Practice Phone: 804-262-1060
Practice Fax:

1982022877 — LINDA BURKETT M.D.
Practice Location Address:

3400 HAYDENPARK LN # 1
HENRICO, VA
23233-7867

Practice Phone: 804-322-1180
Practice Fax: 804-364-6674

1780065979 — NICOLE BUSSIERE MD
Practice Location Address:

3400 HAYDENPARK LN STE 300
HENRICO, VA
23233-7867

Practice Phone: 804-998-1600
Practice Fax: 804-998-1601

Directions to “ MR. ERIC J HAACKE-GOLDEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.