Tina S Haynes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-30261 Issued in KS

Practice address

6837 W 37TH Street North
BLDG 1
Wichita, KS 67205

Phone

(316) 773-3100

Fax

(316) 773-3777

NPI assigned

Jun 14, 2005

Last updated

May 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tina.haynes@khindirect.org

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.

• Children's Mercy - Mid Kansas Pediatric Associates Inc

  dba Mid Kansas Pediatric Associates an affiliate of Children's Mercy

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1134921943
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1275538613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 W GARDEN RIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-773-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 W 37TH STREET NORTH",
            "address_2": "BLDG 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-773-3100",
            "fax_number": "316-773-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TINA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-30261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE NUMBER",
            "identifier": "04-30261",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Haynes
• Jamely Haynes, FNP
• Justin Haynes, M.D.
• Pete Haynes, MD
• Teresa Carol Haynes
• Kevin R Hays, MED
• Haysville Diagnostic Center LLC (Allied Medical Imaging)
• Shelbi Katlyn Hayter, DNAP, CRNA
• Dana Lynn Hayworth
• Kasey Ann Hazell

• Pediatrics Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.