Individual provider Active NPI

Haley Elizabeth Marie Carpenter, MD, PHD

  • Plastic and Reconstructive Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1740766641
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME164929 Issued in FL
Practice address
2855 N University Dr Ste 400
Coral Springs, FL 33065-1408
Phone
(561) 235-0942
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME164929 FL Primary

Addresses

Primary practice location

2855 N University Dr Ste 400
Coral Springs, FL 33065-1408

Mailing address

2855 N University Dr Ste 400
Coral Springs, FL 33065-1408
Phone (904) 861-4153

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
I20240531003873 FL Practitioner - Plastic and Reconstructive Surgery 3779025069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2855 N University Dr
Suite 400
Coral Springs, FL 33065-1408
Phone (954) 344-4344

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
F. Leigh Phillips, III, MD, PA CurrentSince Sep 1, 2024 Accepting new patients
Vitruvian Surgical Institute, LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

2855 N University Dr
Ste 400
Coral Springs, FL 33065
Phone (954) 344-4344

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1740766641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651408",
            "telephone_number": "904-861-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651408",
            "telephone_number": "561-235-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH MARIE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME164929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.