Active NPI
Robert F. Haynsworth Jr., PA
- Pain Medicine Physician
- Plano, TX
National Provider Identifier
1366755787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- F9544
- Legal business name
- ROBERT F. HAYNSWORTH JR., PA
- Practice address
- 4708 Alliance Blvd Ste 810
Plano, TX 75093-5338 - Phone
- (469) 814-5960
- Fax
- (469) 814-5969
- NPI assigned
- Jul 15, 2010
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert F Haynsworth Jr., MD
- Title
- President
- Phone
- (469) 814-5960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | F9544 | TX | Primary |
Addresses
Primary practice location
4708 Alliance Blvd Ste 810
Plano, TX 75093-5338
Mailing address
4708 Alliance Blvd Ste 810
Plano, TX 75093-5338
Phone (469) 814-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033600001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Plano, TX
- NPI 1528046414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1366755787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD STE 810",
"city": "PLANO",
"state": "TX",
"postal_code": "750935338",
"telephone_number": "469-814-5960",
"fax_number": "972-767-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD STE 810",
"city": "PLANO",
"state": "TX",
"postal_code": "750935338",
"telephone_number": "469-814-5960",
"fax_number": "469-814-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT F. HAYNSWORTH JR., PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-15",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "HAYNSWORTH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-814-5960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "F9544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033600001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Robert C. Terrill, P.a.
- Robert D. Wilcox MD PA (Plastic and Cosmetic Surgery Center of Texas)
- Robert D. Wilcox MD PA
- Robert D. Wilcox, MD, PA (Plano Center for Surgical Arts)
- Robert E Torti, MD, PA
- Robert L. Buckles, DMD, Inc.
- Robert M. Scharf, M.D.
- Robert Pine, PLLC Dba Hills and Valleys Counseling
- Robert Thomas, M.D., P.a.
- Saydee Angela Robert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.