Individual provider Active NPI

Philip Haynes, M.D. PH.D.

  • Emergency Medicine Physician
  • Pasadena, TX
National Provider Identifier
1265458111
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K8206 Issued in TX
Practice address
7215 Fairmont Pkwy
Pasadena, TX 77505-4601
Phone
(281) 487-0339
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A066961 CA
Emergency Medicine Physician 207P00000X MD09556 RI
Emergency Medicine Physician 207P00000X K8206 TX Primary

Addresses

Primary practice location

7215 Fairmont Pkwy
Pasadena, TX 77505-4601

Mailing address

PO Box 2291
Friendswood, TX 77549-2291
Phone (832) 694-5586

Other identifiers 1

IdentifierTypeStateIssuer
105449606MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080225000772 TX Practitioner - Emergency Medicine 7911081286 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066961CAMDEmergency Medicine Physician
MD09556RIMDEmergency Medicine Physician
K8206TXMDEmergency Medicine Physician
0000000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince May 17, 2024 Accepting new patients
Fairmont Pkwy Emergency Center, LLC CurrentSince Mar 11, 2024 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Utmb Faculty Group Practice Emergency Medicine Past Accepting new patients
Harris Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Memorial Southeast Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

137 N Lhs Dr
Ste 755
Lumberton, TX 77657
Phone (832) 219-3833

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

7215 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 487-0339

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

2906 Broadway St
Pearland, TX 77581
Phone (713) 431-0575

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1265458111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2291",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775492291",
            "telephone_number": "832-694-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054601",
            "telephone_number": "281-487-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PHILIP",
        "credential": "M.D.  PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A066961",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD09556",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K8206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105449606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.