Sydney Eva-Marie Haggins, M.D
Individual provider Active NPI Family Medicine Physician · Okarche, OK
NPI 1013263136 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1013263136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29389 (OK)
- Practice address
- 315 W Kansas Street
Okarche, OK 73762 - Phone
- (405) 263-7263
- Fax
- (405) 263-7716
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 Colorado
Practice addresses (Care Compare)
17230 Jackson Creek Pkwy
Suite 300
Monument, CO 80132-7306
Phone (719) 571-7000
Hospital & facility affiliations
- Centura Health-Penrose St Francis Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| SSM Health at Home Hospice-Oklahoma |
Hospice | Corporate Director | Feb 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813011744 | OK | Practitioner - Family Practice | 5799090197 | Reassigns benefits to 2 organizations |
| I20240430001031 | CO | Practitioner - Family Practice | 5799090197 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Saints Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current |
Accepting new patients |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Salatka Hall | Past | Accepting new patients | |
| Saint Andre' Bessette | Past | Accepting new patients | |
| Loosen Center | Past | Accepting new patients | |
| Center of Family Love | Past | Accepting new patients | |
| Columbian Hall | 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
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
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Networks
- NM HMO C-SNP
- CO HMO D-SNP
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
Interoperability endpoints
- shaggins712816@directa.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0072078 | CO | |
| Family Medicine Physician | 207Q00000X | 29389 | OK | Yes |
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
Other providers in Okarche, OK
- Center of Family Love
- Columbian Hall
- Gina Marie Crawford
- Gerber Family LLC
- James S Gerber
- Allison Diane Henrichs
- Krittenbrink Pharmacy
- Krittenbrink Pharmacy LLC
- Steve Robert Krittenbrink
- Loosen Center
All providers in Okarche, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.