Active NPI
Thomas James Haycraft, M.D.
- General Practice Physician
- Barksdale Afb, LA
National Provider Identifier
1841634219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101258792
- Practice address
- 243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425 - Phone
- (318) 456-4470
- Fax
- (318) 456-7012
- NPI assigned
- Apr 29, 2013
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101258792 | VA | Primary |
Addresses
Primary practice location
243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425
Mailing address
243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425
Phone (318) 456-4470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841634219 | Other | OH | STUDENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258792 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1841634219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CURTISS RD STE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-4470",
"fax_number": "318-456-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CURTISS RD STE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-4470",
"fax_number": "318-456-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYCRAFT",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101258792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT",
"identifier": "1841634219",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.