Active NPI
Barry L Haines, CRNA
- Certified Registered Nurse Anesthetist
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA08569-NA
- Practice address
- 2793 Shawnee Rd
Lima, OH 45806-1444 - Phone
- (419) 879-3636
- Fax
- (419) 879-4312
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA08569-NA | OH | Primary |
Addresses
Primary practice location
2793 Shawnee Rd
Lima, OH 45806-1444
Mailing address
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 394-3335
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00277590 | Other | OH | RAILROAD MEDICARE |
| 2613032 | Medicaid | OH | |
| 000000679179 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Medical Dr
Suite B
Lima, OH 45804-4030
Phone (419) 224-7586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA08569-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Buckeye Anesthesia Services & Consultants LLC | Current | Accepting new patients | |
| The Endoscopy Center of West Central Ohio, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| JTDM Family Practice LLC | Past | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
33151 Collection Ctr Dr
Chicago, IL 60693
1 Wyoming St
Ste 3027A
Dayton, OH 45409
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2793 Shawnee Rd
Lima, OH 45806
Phone (419) 204-1501
801 Medical Dr
Ste B
Lima, OH 45804
Phone (419) 224-7586
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Lima, OH
- NPI 1225079270
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
- Ambulatory Surgical Clinic/Center
- Lima, OH
- NPI 1578745568
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Saint Marys, OH
- NPI 1184652539
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Specialist
- Lima, OH
- NPI 1457474900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1467460303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SAINT CLAIR AVE",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458852400",
"telephone_number": "419-394-3335",
"fax_number": "419-394-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2793 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458061444",
"telephone_number": "419-879-3636",
"fax_number": "419-879-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "BARRY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA08569-NA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00277590",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2613032",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000679179",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.