Active NPI
Ian Haycocks, MD
- Diagnostic Radiology Physician
- Winchester, KY
National Provider Identifier
1841220746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 10797
- Practice address
- 175 Hospital Dr
Winchester, KY 40391-9591 - Phone
- (412) 230-8200
- NPI assigned
- Jul 4, 2006
- Last updated
- Sep 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10797 | NV | Primary |
Addresses
Primary practice location
175 Hospital Dr
Winchester, KY 40391-9591
Mailing address
75 Remittance Dr Dept 8310
Chicago, IL 60675-8310
Phone (814) 444-1919
Other practice location 1
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100502691 | Medicaid | NV | |
| 200469350A | Medicaid | OK | |
| P01168988 | Other | NV | RR MEDICARE |
| 7100475330 | Medicaid | KY | |
| 1841220746 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Diagnostic Radiology in Nuclear Medicine | Diagnostic Radiology | Past | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Horizon Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1245399401
-
dba Desert Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
-
- Diagnostic Radiology Physician
- Henderson, NV
- NPI 1770842478
-
dba Desert Radiology Solutions
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1841220746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITTANCE DR DEPT 8310",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606758310",
"telephone_number": "814-444-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HOSPITAL DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403919591",
"telephone_number": "412-230-8200"
}
],
"practiceLocations": [
{
"address_1": "2020 Palomino Ln",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064894",
"country_code": "US",
"telephone_number": "702-759-8600",
"fax_number": "702-384-1815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYCOCKS",
"first_name": "IAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "10797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100502691",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200469350A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01168988",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100475330",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841220746",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.