Individual provider Active NPI

Stanley M Haymes, M.D.

  • Otolaryngology Physician
  • Smithtown, NY
National Provider Identifier
1215206750
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
077247 Issued in NY
Practice address
19 Flamingo Dr
Smithtown, NY 11787-3307
Phone
(631) 265-0852
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 077247 NY Primary

Addresses

Primary practice location

19 Flamingo Dr
Smithtown, NY 11787-3307

Mailing address

19 Flamingo Dr
Smithtown, NY 11787-3307
Phone (631) 265-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1215206750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FLAMINGO DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873307",
            "telephone_number": "631-265-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FLAMINGO DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873307",
            "telephone_number": "631-265-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMES",
        "first_name": "STANLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "077247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.