Active NPI
William A Haynes, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Lantana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- J3116
- Practice address
- 9611 Arbor CT
Lantana, TX 76226-6426 - Phone
- (940) 725-0022
- NPI assigned
- Sep 7, 2005
- Last updated
- Nov 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | J3116 | TX | Primary |
Addresses
Primary practice location
9611 Arbor CT
Lantana, TX 76226-6426
Mailing address
9611 Arbor CT
Lantana, TX 76226-6426
Phone (940) 725-0022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U3588 | Other | BCBS | |
| 130479209 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Greater Texas Emergency Consultants, P.a. | Past | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Midland County Hospital District | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients | |
| Midland Emergency Management PLLC | Emergency Medical Services | Past | Accepting new patients |
Locations
1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
Organizations & group practices 8
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.
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-
dba MCH Urgent Care
- Urgent Care Clinic/Center
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- NPI 1366680555
-
dba MCH Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
-
- Emergency Medicine Physician
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- NPI 1043296932
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
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-
- Emergency Medicine Physician
- Midland, TX
- NPI 1801889993
Emergency Medical Services
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290211200000",
"number": "1427042340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 ARBOR CT",
"city": "LANTANA",
"state": "TX",
"postal_code": "762266426",
"telephone_number": "940-725-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 ARBOR CT",
"city": "LANTANA",
"state": "TX",
"postal_code": "762266426",
"telephone_number": "940-725-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2010-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "J3116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U3588",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130479209",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; 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.