Individual provider Active NPI

Timothy Michael Haffey, M.D.

  • Otolaryngology Physician
  • Biloxi, MS
National Provider Identifier
1871751412
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
23630 Issued in MS
Practice address
147 Reynoir St Ste 201
Biloxi, MS 39530
Phone
(228) 392-6239
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1761 WI
Otolaryngology Physician 207Y00000X PT13586 ND
Student in an Organized Health Care Education/Training Program 390200000X OH
Otolaryngology Physician 207Y00000X 23630 MS Primary

Addresses

Primary practice location

147 Reynoir St Ste 201
Biloxi, MS 39530

Mailing address

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 436-1142

Other practice location 1

61141 Palamino Ct
South Lyon, MI 48178-8216
Phone (517) 230-5434

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 1

IdentifierTypeStateIssuer
81626MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.haffey.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150413001861 MS Practitioner - Otolaryngology 6901124486 Reassigns benefits to 3 organizations
I20220601001328 WI Practitioner - Otolaryngology 6901124486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1199 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-9363

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563

2819 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 762-3466

3101 Denny Ave
Pascagoula, MS 39581-5307
Phone (228) 460-4180

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23630MSMDOtolaryngology Physician
PT13586NDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc CurrentSince May 20, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Singing River Gulfport CurrentSince Jun 3, 2024 Accepting new patients
Singing River Health System CurrentSince Mar 1, 2018 Accepting new patients
Singing River Gulfport CurrentSince Jun 3, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 20, 2022 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1131 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 809-5355

3101 Denny Ave
Pascagoula, MS 39581
Phone (228) 202-3447

3101 Denny Ave
Ste 210
Pascagoula, MS 39581
Phone (228) 207-7102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: thaffey@direct.mhg.com
  • Direct secure messaging: thaffey@direct.mysrhs.com
  • Direct secure messaging: thaffey665658@direct.gundersenhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1871751412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 REYNOIR ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304130",
            "telephone_number": "228-436-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST STE 201",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39530",
            "telephone_number": "228-392-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61141 Palamino Ct",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481788216",
            "country_code": "US",
            "telephone_number": "517-230-5434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFFEY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "1761",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "PT13586",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "23630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81626",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.haffey.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "147 Reynoir St Ste 201",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.