Charles Eugene Haines, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

93-69 Issued in NM

Practice address

1424 Deborah Rd SE
Suite # 101
Rio Rancho, NM 87124-1058

Phone

(505) 896-0928

Fax

(505) 896-0585

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Presbyterian Medical Services

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1518910553

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396765152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870481035",
            "telephone_number": "505-899-1441",
            "fax_number": "505-896-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 DEBORAH RD SE",
            "address_2": "SUITE # 101",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241058",
            "telephone_number": "505-896-0928",
            "fax_number": "505-896-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "93-69",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Haaland, MD PHD
• Dorothy Ann Habrat, D.O.
• Kelly Jo Haddad, PHARMD
• Andrea Alyssa Hahn, COTA
• Christine Alise Hahn, RN
• Ashley Hale
• Deseree Haley
• Rebecca Haley, RN
• Jazmine Hall
• Jennifer Lynne Hall, LSAA, LMHC

• Family Medicine Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.