Active NPI
Kathleen Anne Havlin, MD
- Medical Oncology Physician
- Durham, NC
National Provider Identifier
1205864139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 35657
- Practice address
- 40 Duke Medicine Cir
Durham, NC 27710-4000 - Phone
- (919) 419-5500
- Fax
- (919) 493-3234
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 036067257 | IL | |
| Medical Oncology Physician | 207RX0202X | 35657 | NC | Primary |
| Medical Oncology Physician | 207RX0202X | 35-089327 | OH |
Addresses
Primary practice location
40 Duke Medicine Cir
Durham, NC 27710-4000
Mailing address
PO Box 63362
Charlotte, NC 28263-3362
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913813 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067257 | IL | MD | Medical Oncology Physician |
| 35-089327 | OH | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Internal Medicine Associates, Inc. | Medical Oncology | Past | Accepting new patients |
| University Hematology Oncology Care, Inc. | Medical Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- Cincinnati, OH
- NPI 1720044019
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
Medical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1205864139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633362",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DUKE MEDICINE CIR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277104000",
"telephone_number": "919-419-5500",
"fax_number": "919-493-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVLIN",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IL",
"license": "036067257",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "35657",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OH",
"license": "35-089327",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913813",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.