Active NPI
Amanda Erin Haynes, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- OS014610
- Practice address
- 100 N Academy Ave
19-30
Danville, PA 17822-9800 - Phone
- (570) 214-1982
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20A800 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OT011209 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OS014610 | PA | Primary |
Addresses
Primary practice location
100 N Academy Ave
19-30
Danville, PA 17822-9800
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-8605
Other practice location 1
10666 N Torrey Pines Rd
LA Jolla, CA 92037-1027
Phone (858) 554-8605
Other names 1
- Amanda Erin Brehm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Philadelphia College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
- Scripps Green Hospital
- Scripps Memorial Hospital - Encinitas
- Scripps Mercy Hospital
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A800 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| OS014610 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| OT011209 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Scripps Health | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Shamokin Area Community Hospital | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200
100 N Academy Ave
#1930
Danville, PA 17822
Phone (570) 214-1982
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
Anatomic Pathology & Clinical Pathology
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Anatomic Pathology & Clinical Pathology
-
- Family Medicine Physician
- Bellefonte, PA
- NPI 1467888628
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
-
- Gastroenterology Physician
- Montoursville, PA
- NPI 1396207015
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
- Anatomic Pathology & Clinical Pathology Physician
- Coal Township, PA
- NPI 1265566764
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1821215641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-554-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"address_2": "19-30",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "570-214-1982"
}
],
"practiceLocations": [
{
"address_1": "10666 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371027",
"country_code": "US",
"telephone_number": "858-554-8605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "AMANDA",
"middle_name": "ERIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "20A800",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "OT011209",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "OS014610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BREHM",
"middle_name": "ERIN",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.