Individual provider Active NPI

Jay D Haskett, D.M.D., M.D.

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1730199316
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME41252 Issued in FL
Practice address
981 37TH PL
Vero Beach, FL 32960-6541
Phone
(772) 257-5785
Fax
(772) 257-5325
NPI assigned
Aug 8, 2006
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME41252 FL
Family Medicine Physician 207Q00000X ME41252 FL Primary

Addresses

Primary practice location

981 37TH PL
Vero Beach, FL 32960-6541

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8190

Other practice location 1

725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone (772) 468-9900

Other identifiers 2

IdentifierTypeStateIssuer
79735OtherFLBCBS
106655100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040605000052 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 3678555331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Family Health Center IncGroup PAC ID 5496641169, 28 clinicians

Practice addresses (Care Compare)

981 37TH PL
Vero Beach, FL 32960-6541
Phone (772) 257-5785

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Health Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Whole Family Health Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Medical Resources, LLC Past Accepting new patients
Access Health Care LLC Family Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Berner ER Services Partnership Emergency Medicine Past Accepting new patients
Okeechobee Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients

Locations

725 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 252-4014

827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190

981 37th Pl
Vero Beach, FL 32960
Phone (772) 257-5785

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA
  • Direct secure messaging: jay.haskett.1@14627.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1730199316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8190",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-257-5785",
            "fax_number": "772-257-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349509125",
            "country_code": "US",
            "telephone_number": "772-468-9900",
            "fax_number": "771-468-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKETT",
        "first_name": "JAY",
        "middle_name": "D",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME41252",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME41252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79735",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106655100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.