Herbert Jeffrey Haynes, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24621 Issued in KY

Practice address

2409 Ring Rd Ste 114
Elizabethtown, KY 42701-5935

Phone

(270) 982-3344

Fax

(270) 982-3366

NPI assigned

Jul 12, 2006

Last updated

Feb 28, 2008By the provider in NPPES

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

Other identifiers 1

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

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.

• Hardin Professional Services, LLC

  • Diagnostic Radiology Physician
  • Elizabethtown, KY
  • NPI 1306894704
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1578588604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 RING RD STE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015935",
            "telephone_number": "270-982-3344",
            "fax_number": "270-982-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 RING RD STE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015935",
            "telephone_number": "270-982-3344",
            "fax_number": "270-982-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "HERBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "24621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64246218",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Shayloe Haycraft
• Savanna Haycraft
• Amy Hayden, OT
• Lisa J Haydon
• Mendy Dawn Hayes, NP
• Shawna Marie Hazelton, BS
• Nancy Claycomb Hazle, M.A.
• HBR Elizabethtown, LLC (Kensington Center)
• Chanty Lynn Headspeth, PA C
• Brenda Wilcox Heady

• Diagnostic Radiology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.