Organization Active NPI

Michael S Haydel, M.D., Apmc

  • Pain Medicine (Anesthesiology) Physician
  • Houma, LA
National Provider Identifier
1376567032
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD021195 Issued in LA
Legal business name
MICHAEL S HAYDEL, M.D., APMC
Practice address
1022 Belanger St
Houma, LA 70360-4412
Phone
(985) 223-3132
Fax
(985) 223-3126
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Michael Stephen Haydel, M.D.NPI 1033198650
Title
Ceo
Phone
(985) 223-3132

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X MD021195 LA Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD020562 LA

Addresses

Primary practice location

1022 Belanger St
Houma, LA 70360-4412

Mailing address

PO Box 1094
Houma, LA 70361-1094
Phone (985) 223-3132

Other names 1

  • Haydel Spine & Pain Specialty Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070405000165 LA Part B Supplier - Clinic/Group Practice 4789640624 Receives reassigned benefits from 7 practitioners
Practice locations: Houma, LA; Thibodaux, LA; Raceland, LA; Lafayette, LA; Morgan City, LA
O20140909000164 LA DME Supplier - Physician - Anesthesiology 4789640624 Practice locations: Houma, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1042140Haydel Pain & Spine Specialty Care Center1022 Belanger Street, Houma, LA 70360Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

213 Service Rd SW
Gray, LA 70359
Phone (985) 709-0528

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1376567032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703611094",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604412",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S HAYDEL, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "HAYDEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-223-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "MD021195",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD020562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haydel Spine & Pain Specialty Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.