Active NPI
Jonathan Lee Haimes, M.D.
- Addiction Medicine (Preventive Medicine) Physician
- Columbus, OH
National Provider Identifier
1437145935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 36.066575
- Practice address
- 5925 Cleveland Ave
Suite B
Columbus, OH 43231 - Phone
- (614) 776-4646
- Fax
- (614) 398-0039
- NPI assigned
- Sep 21, 2005
- Last updated
- Jun 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35066575 | OH | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 36.066575 | OH | Primary |
Addresses
Primary practice location
5925 Cleveland Ave
Suite B
Columbus, OH 43231
Mailing address
5925 Cleveland Ave
Suite B
Columbus, OH 43231
Phone (614) 776-4646
Other practice location 1
906 N Court St Ste B
Circleville, OH 43113-1281
Phone (614) 776-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259170 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066575 | OH | MD | Gynecology Physician |
| 36.066575 | OH | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlife Recovery, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Highlife Addiction Medicine and Counseling
- Addiction Medicine (Internal Medicine) Physician
- Columbus, OH
- NPI 1568913283
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1114472289
-
- Addiction Medicine (Internal Medicine) Physician
- Columbus, OH
- NPI 1801262118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1437145935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 CLEVELAND AVE",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43231",
"telephone_number": "614-776-4646",
"fax_number": "614-398-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 CLEVELAND AVE",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43231",
"telephone_number": "614-776-4646",
"fax_number": "614-398-0039"
}
],
"practiceLocations": [
{
"address_1": "906 N Court St Ste B",
"address_purpose": "LOCATION",
"city": "Circleville",
"state": "OH",
"postal_code": "431131281",
"country_code": "US",
"telephone_number": "614-776-4646",
"fax_number": "614-398-0039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIMES",
"first_name": "JONATHAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35066575",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OH",
"license": "36.066575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0259170",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.