Individual provider Active NPI

William A Haynes, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lantana, TX
National Provider Identifier
1427042340
Registry record updated Nov 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
J3116 Issued in TX
Practice address
9611 Arbor CT
Lantana, TX 76226-6426
Phone
(940) 725-0022
NPI assigned
Sep 7, 2005
Last updated
Nov 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8U3588OtherBCBS
130479209MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001026 TX Practitioner - Emergency Medicine 0446220735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Apr 26, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 26, 2018 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.

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.

Verify at the official NPI Registry.