Holland Hoyt Haynie III, MD26719

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2024012818 Issued in MO

Practice address

3870 Columbia Ave
Osage Beach, MO 65065-8689

Phone

(573) 708-7600

NPI assigned

Oct 11, 2006

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richland Medical Center, Inc.Group PAC ID 2062554025, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care and Hospice Home health agency, Springfield, MO, CCN 267629
• Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment Care Compare group NPD
• High Desert Medical Center

  • Family Medicine Physician
  • Burns, OR
  • NPI 1447276837
  NPD (past)

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

• Lake Regional Health System

  • Clinic/Center
  • Osage Beach, MO
  • NPI 1295151959

  Hospital

  Care Compare affiliation
• Lake Regional Health System

  • Rural Acute Care Hospital
  • Osage Beach, MO
  • NPI 1386619450
  Care Compare affiliation
• Phoenix Home Care, LLC

  • Home Health Agency
  • Springfield, MO
  • NPI 1336437623
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1154419182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-708-7600",
            "fax_number": "541-573-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 COLUMBIA AVE",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658689",
            "telephone_number": "573-708-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-2074",
            "fax_number": "541-573-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "HOLLAND",
        "middle_name": "HOYT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD26719",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024012818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Harbison, LPC
• Jerry D Harl, DDS
• Sherri Ann Harmon, FNP
• Barbara Lynn Harrison, OTR L
• Matthew Earl Hart, PHARM.D
• Maury Rose Hefele, PMHNP-BC
• Alyssa Heinsohn, DPT
• Cassandra Helms
• Geetha G. Herath, MD
• Doris Hernandez Meza

• Family Medicine Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.

Verify at the official NPI Registry.