Active NPI
Dana Haydel, M.D.
- Dermatopathology Physician
- Tucson, AZ
National Provider Identifier
1588959894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 66057
- Practice address
- 7485 E Tanque Verde Rd
Tucson, AZ 85715-3477 - Phone
- (520) 320-7681
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME138073 | FL | |
| Dermatopathology Physician | 207ND0900X | 66057 | AZ | Primary |
| Dermatopathology Physician | 207ND0900X | ME138073 | FL |
Addresses
Primary practice location
7485 E Tanque Verde Rd
Tucson, AZ 85715-3477
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Other practice location 1
706 Green Valley Rd Ste 104
Greensboro, NC 27408
Phone (336) 387-2500
Other practice location 2
16250 NW 59th Ave Ste 201
Miami Lakes, FL 33014-7542
Phone (866) 825-4422
Other practice location 3
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN6881A | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Wake Forest University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66057 | AZ | MD | Dermatopathology Physician |
| ME138073 | FL | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosemite Pathology Medical Group, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Poplar Healthcare, PLLC | Current | Accepting new patients | |
| Ameripath Tucson, Inc | Past | Accepting new patients | |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients |
Locations
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
4301 N Star Way
Ste A
Modesto, CA 95356
4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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
- Modesto, CA
- NPI 1598760985
-
- Specialist
- Memphis, TN
- NPI 1346271251
-
- Dermatopathology (Pathology) Physician
- Tucson, AZ
- NPI 1457508400
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1588959894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7485 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-320-7681"
}
],
"practiceLocations": [
{
"address_1": "706 Green Valley Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "27408",
"country_code": "US",
"telephone_number": "336-387-2500",
"fax_number": "336-387-2501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16250 NW 59th Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330147542",
"country_code": "US",
"telephone_number": "866-825-4422",
"fax_number": "305-779-5387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3495 Hacks Cross Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381258803",
"country_code": "US",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYDEL",
"first_name": "DANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME138073",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "66057",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME138073",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN6881A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- 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.