NPIMap

Individual provider Active NPI

Sydney Eva-Marie Haggins, M.D

  • Family Medicine Physician
  • Okarche, OK
National Provider Identifier
1013263136
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29389 Issued in OK
Practice address
315 W Kansas Street
Okarche, OK 73762
Phone
(405) 263-7263
Fax
(405) 263-7716
NPI assigned
Jul 26, 2012
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0072078 CO
Family Medicine Physician 207Q00000X 29389 OK Primary

Addresses

Primary practice location

315 W Kansas Street
Okarche, OK 73762

Mailing address

315 W Kansas Street
Okarche, OK 73762
Phone (405) 263-7263

Other practice location 1

17230 Jackson Creek Pkwy Ste 300
Monument, CO 80132-7306
Phone (719) 571-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150813011744 OK Practitioner - Family Practice 5799090197 Reassigns benefits to 2 organizations
I20240430001031 CO Practitioner - Family Practice 5799090197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

17230 Jackson Creek Pkwy
Suite 300
Monument, CO 80132-7306
Phone (719) 571-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29389OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Aug 21, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 21, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Columbian Hall Past Accepting new patients
Center of Family Love Past Accepting new patients
Saint Andre' Bessette Past Accepting new patients
Salatka Hall Past Accepting new patients
Loosen Center Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

17230 Jackson Creek Pkwy
Ste 300
Monument, CO 80132
Phone (713) 422-0808

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: shaggins712816@directa.mercy.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health at Home Hospice-OklahomaOklahoma City, OK, CCN 371731 Hospice Corporate Director Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1013263136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W KANSAS STREET",
            "city": "OKARCHE",
            "state": "OK",
            "postal_code": "73762",
            "telephone_number": "405-263-7263",
            "fax_number": "405-263-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W KANSAS STREET",
            "city": "OKARCHE",
            "state": "OK",
            "postal_code": "73762",
            "telephone_number": "405-263-7263",
            "fax_number": "405-263-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17230 Jackson Creek Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801327306",
            "country_code": "US",
            "telephone_number": "719-571-7000",
            "fax_number": "719-571-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGINS",
        "first_name": "SYDNEY",
        "middle_name": "EVA-MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072078",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okarche, OK

Sources for this page

Verify at the official NPI Registry.