Active NPI
Timothy Michael Haffey, M.D.
- Otolaryngology Physician
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 23630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81626 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | timothy.haffey.1@4695.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, WI
- 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
- Otolaryngology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 43 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23630 | MS | MD | Otolaryngology Physician |
| PT13586 | ND | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | 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
- thaffey@direct.mhg.com
- thaffey@direct.mysrhs.com
- 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.
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Specialist
- Gulfport, MS
- NPI 1366560435
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
-
dba Emplify Health La Crosse Hospital
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
dba Emplify Health Onalaska Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
dba Inpatient Physician Services
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.
- 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.