Active NPI
John Marshall Haynie, MD
- Orthopaedic Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 301370
- Practice address
- 1500 Line Ave
Suite 100
Shreveport, LA 71101-4639 - Phone
- (318) 635-3052
- Fax
- (318) 635-3072
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 301370 | LA | Primary |
Addresses
Primary practice location
1500 Line Ave
Suite 100
Shreveport, LA 71101-4639
Mailing address
1534 Elizabeth Ave Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5001
Other practice location 1
2005 Landry Dr
Bossier City, LA 71111-3169
Phone (318) 752-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160714000449 | LA | Practitioner - Orthopedic Surgery | 4082917307 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musculoskeletal Institute of Louisiana LLC
Practice addresses (Care Compare)
1500 Line Ave
Suite 100
Shreveport, LA 71101-4644
Phone (318) 635-3052
Hospital & facility affiliations
- Specialists Hospital Shreveport
- Christus St Michael Health System
- Willis Knighton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musculoskeletal Institute of Louisiana, L.L.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Musculoskeletal Institute of Louisiana, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052
1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- john.hayniemd.p1@direct.msil.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1316957012
LA, Orthopaedic Surgery
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
LA, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Bossier City, LA
- NPI 1265616130
Orthopaedic Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
Hospital
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1124349931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 ELIZABETH AVE STE 301",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014531",
"telephone_number": "318-629-5001",
"fax_number": "318-629-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LINE AVE",
"address_2": "SUITE 100",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014639",
"telephone_number": "318-635-3052",
"fax_number": "318-635-3072"
}
],
"practiceLocations": [
{
"address_1": "2005 Landry Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711113169",
"country_code": "US",
"telephone_number": "318-752-7850",
"fax_number": "318-752-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNIE",
"first_name": "JOHN",
"middle_name": "MARSHALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-15",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "301370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.