David W Haymes Jr., MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036.119003 Issued in IL

Practice address

1750 E Lake Shore Dr
Suite 300
Decatur, IL 62521

Phone

(217) 464-1050

Fax

(217) 464-1059

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8839/brand/1/csg/1/fhir/r4

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.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904
  NPD (past)
• PRMC Healthcare Group Inc

  • General Practice Physician
  • Paris, TX
  • NPI 1457514648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1508993502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DR",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-464-1050",
            "fax_number": "217-464-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DR",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-464-1050",
            "fax_number": "217-464-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMES",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036.119003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad M Hatayama, P.T.
• Leah G Hauger, APRN
• Nichele Deanne Hawbaker, LCSW
• Carla Hawk
• Douglas S Haws, H.I.S.
• Tracy Hayward, MA, ATC
• Jill C Headrick
• Healing Your Feelings Behavioral Health LLC
• Healthpro Heritage Rehab & Fitness, LLC
• Heartland of Decatur Il LLC

• Plastic Surgery Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.