Active NPI
James E. Haswell, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Derby, CT
National Provider Identifier
1487792065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 031543
- Practice address
- 130 Division St
Laboratory, Griffin Hospital
Derby, CT 06418-1326 - Phone
- (203) 732-7284
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 031543 | CT | Primary |
Addresses
Primary practice location
130 Division St
Laboratory, Griffin Hospital
Derby, CT 06418-1326
Mailing address
11 Greystone Farm LN
Westport, CT 06880-2750
Phone (203) 227-7665
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001315432 | Medicaid | CT | |
| 13429870 | Other | CT | TRICARE IND. PROV. # |
| 001315432P1 | Other | CT | BLUE CARE FAMILY PLAN |
| 220009479 | Other | CT | RAILROAD MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031543 | CT | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Pathology Consultants, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
21 Cocasset St
Foxboro, MA 02035
Phone (781) 436-2025
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Derby, CT
- NPI 1801934484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487792065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GREYSTONE FARM LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068802750",
"telephone_number": "203-227-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"address_2": "LABORATORY, GRIFFIN HOSPITAL",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-732-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASWELL",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "031543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001315432",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE IND. PROV. #",
"identifier": "13429870",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY PLAN",
"identifier": "001315432P1",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "220009479",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.