Individual provider Active NPI

Jonathan Lee Haimes, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
National Provider Identifier
1437145935
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
36.066575 Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0259170MedicaidOH

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35066575OHMDGynecology Physician
36.066575OHMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlife Recovery, LLC PastSince Oct 23, 2022 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.

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.

Verify at the official NPI Registry.