Individual provider Active NPI

Erast J Haftkowycz, MD

  • Obstetrics & Gynecology Physician
  • Napoleon, OH
National Provider Identifier
1124070164
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35051731 Issued in OH
Practice address
1600 E Riverview Ave
Suite 105
Napoleon, OH 43545-9805
Phone
(419) 599-0055
Fax
(419) 599-0089
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35051731 OH Primary

Addresses

Primary practice location

1600 E Riverview Ave
Suite 105
Napoleon, OH 43545-9805

Mailing address

1600 E Riverview Ave
Suite 105
Napoleon, OH 43545-9805
Phone (419) 599-0055

Other identifiers 1

IdentifierTypeStateIssuer
0831274MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erast.haftkowycz@henrycountyhospital.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000565 OH Practitioner - Obstetrics/Gynecology 5193625952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

Hospital & facility affiliations

  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince Mar 4, 2012 Accepting new patients
Fulton County Health Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 105
Napoleon, OH 43545
Phone (419) 599-0055

Interoperability endpoints

  • Direct secure messaging: ehaftkowycz349561@direct.bsmhealth.org

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1124070164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055",
            "fax_number": "419-599-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055",
            "fax_number": "419-599-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFTKOWYCZ",
        "first_name": "ERAST",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35051731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0831274",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erast.haftkowycz@henrycountyhospital.medicity.net",
            "affiliation": "N",
            "address_1": "1600 E Riverview Ave",
            "address_2": "Suite 105",
            "city": "Napoleon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435459805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.