Henry D Haynes, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30455 Issued in MA

Legal business name

HENRY D HAYNES, LLC

Practice address

50 Tremont St
Apt 101
Melrose, MA 02176-2721

Phone

(781) 665-3500

Fax

(781) 665-1114

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry D Haynes, MDNPI 1760507875

Title

Owner

Phone

(781) 665-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry D Haynes, M.D.

  • Surgery Physician
  • Melrose, MA
  • NPI 1760507875
  NPD (past) Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1730375494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TREMONT ST",
            "address_2": "SUITE 101",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762721",
            "telephone_number": "781-665-3500",
            "fax_number": "781-665-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TREMONT ST",
            "address_2": "APT 101",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762721",
            "telephone_number": "781-665-3500",
            "fax_number": "781-665-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY D HAYNES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-665-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "30455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9741992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hearts Care Center LLC
• Sam Healy, LICSW
• Heather Corazzini PSYD LLC
• Karl Eric Henrikson, MD
• Andy Hamilton Henriquez
• Herbert L Schurgin OD PC
• Julie L Hersey, MS, RDN, LDN
• Kathleen Marie Hickey, RDN LDN
• Nicole Lynn Hinckley, LICSW
• Kristin E Hoffman, PA-C

• Surgery Physician in Melrose, MA
• Providers in Melrose, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.