Stephanie Lynne Haire, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106525 Issued in FL

Practice address

1806 Town Plaza CT
Winter Springs, FL 32708-6206

Phone

(407) 542-4946

Fax

(407) 695-3674

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Myrtho Mompoint-Branch MD PAGroup PAC ID 6406232354, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Myrtho Mompoint-Branch MD PA

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1689686412
  Medicare reassignment Care Compare group
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1598347726
  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Neurological Surgery Physician
  • Lake Mary, FL
  • NPI 1902486939
  NPD

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1194001867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 TOWN PLAZA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086206",
            "telephone_number": "407-542-4946",
            "fax_number": "407-695-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 N Sun Dr Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462554",
            "country_code": "US",
            "telephone_number": "407-834-1556",
            "fax_number": "407-834-2789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Broadway St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659277",
            "country_code": "US",
            "telephone_number": "407-977-3500",
            "fax_number": "407-977-1128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Crystal Lake St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064476",
            "country_code": "US",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIRE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106525",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106525",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Together Pediatrics, LLC
• Jason Rodriguez Guevara, M.D.
• Monica Samir Guirguis, D.O.
• Alexa Gutierrez de Pineres, B.S.-SLPA
• Cathy Habib
• Rola Hajj, PHARMD
• Keian Halls
• Casey Ann Haltigan, M.S. SLP
• David E Hankins, OD PA
• Marie A Harden, LMHC

• Physician Assistant in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.