Organization Active NPI

Gregory Haines MD LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Taylor, MI
National Provider Identifier
1770760175
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
GREGORY HAINES MD LLC
Practice address
8750 Telegraph Rd
Suite 108
Taylor, MI 48180-2397
Phone
(313) 299-8900
Fax
(313) 299-8600
NPI assigned
Jan 28, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Gregory Haines, MD
Title
Owner
Phone
(313) 299-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X MI Primary

Addresses

Primary practice location

8750 Telegraph Rd
Suite 108
Taylor, MI 48180-2397

Mailing address

8750 Telegraph Rd
Suite 108
Taylor, MI 48180-2397
Phone (313) 299-8900

Other identifiers 1

IdentifierTypeStateIssuer
1108209012OtherMIBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

8750 Telegraph Rd
Ste 108
Taylor, MI 48180
Phone (313) 299-8600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1770760175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 TELEGRAPH RD",
            "address_2": "SUITE 108",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802397",
            "telephone_number": "313-299-8900",
            "fax_number": "313-299-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 TELEGRAPH RD",
            "address_2": "SUITE 108",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802397",
            "telephone_number": "313-299-8900",
            "fax_number": "313-299-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY HAINES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-299-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "1108209012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.