Haile Medical Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAILE MEDICAL GROUP PA

Practice address

4750 SW 91St Dr Ste a
Gainesville, FL 32608-8140

Phone

(352) 367-9602

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nichole Osborne

Title

Manager

Phone

(352) 367-9602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander S Kaye, M.D.

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1720010986
  Medicare reassignment Care Compare group NPD
• Kimberly A. Kaye, M.D.

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1326064791

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Elizabeth Eddins Thompson, ARNP

  • Family Nurse Practitioner
  • Williston, FL
  • NPI 1720313950
  Medicare reassignment NPD
• Leigh Anne Douglas, L.M.T.

  • Massage Therapist
  • Gainesville, FL
  • NPI 1376845982
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1851433197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 SW 91ST DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088140",
            "telephone_number": "352-367-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 SW 91ST DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088140",
            "telephone_number": "352-367-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-367-9602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acacia Raine Hager
• Rachael Hager, MD
• Kelly Haggerty
• Morgan Hagstrom
• Paulette C Hahn, MD
• Haile Plantation Family Dental Center
• Haile Village Spa & Salon
• Derrick Van Haile II, APRN
• Lisa A Hain, PSYD, NCSP, LPC
• Arizona Haines

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.