Individual provider Active NPI

Deborah A Haines, DO

  • Family Medicine Physician
  • Altoona, IA
National Provider Identifier
1679527428
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-02671 Issued in IA
Practice address
2720 8TH St SW
Altoona, IA 50009-1028
Phone
(515) 967-0133
Fax
(515) 967-7578
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-02671 IA Primary

Addresses

Primary practice location

2720 8TH St SW
Altoona, IA 50009-1028

Mailing address

2720 8TH St SW
Altoona, IA 50009-1028
Phone (515) 967-0133

Other identifiers 2

IdentifierTypeStateIssuer
3099010MedicaidIA
1679527428MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001020 IA Practitioner - Family PracticePractitioner - General Practice 7719947050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-02671IAMDFamily Medicine Physician
02671IAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

2720 8th St SW
Ste A1
Altoona, IA 50009
Phone (515) 967-0133

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

5700 Hickman Rd
Des Moines, IA 50310
Phone (515) 274-3551

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1679527428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091028",
            "telephone_number": "515-967-0133",
            "fax_number": "515-967-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091028",
            "telephone_number": "515-967-0133",
            "fax_number": "515-967-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-02671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099010",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679527428",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.