Earlie Owens Hairston II, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3162 Issued in FL

Practice address

12900 Cortez Blvd Ste 102
Brooksville, FL 34613-6897

Phone

(352) 683-6618

Fax

(352) 683-5722

NPI assigned

Jun 27, 2005

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ehairston296050@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• DPM Hairston 01 FL LLC

  • Foot & Ankle Surgery Podiatrist
  • Brooksville, FL
  • NPI 1508988015
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  dba Tampa General Hospital Brooksville

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  dba Tampa General Hospital Spring Hill

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1205832854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136897",
            "telephone_number": "352-683-6618",
            "fax_number": "352-683-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136897",
            "telephone_number": "352-683-6618",
            "fax_number": "352-683-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "EARLIE",
        "middle_name": "OWENS",
        "name_suffix": "II",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340486200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anton Gurevich, MD
• Albert Richard Gutierrez Jr., MD
• Alexander Fabio Gutierrez, MD, MS
• Alfredo Gutierrez, M.D.
• Tiffany C Gutierrez, HIS
• Rasmi Hajjar, MD
• Jeffrey Luther Hall, DO
• Jaafar Ali Hamdan, MD
• Alisher Hamidullah, MD
• Hanny Hamoui, D.M.D

• Foot & Ankle Surgery Podiatrist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.