Active NPI
Patricia Haynes, MD
- Family Medicine Physician
- Hillsboro, OH
National Provider Identifier
1902046261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35095089
- Practice address
- 1108 Northview Dr
Suite 1
Hillsboro, OH 45133-1184 - Phone
- (937) 393-5781
- Fax
- (937) 393-5784
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35095089 | OH | Primary |
Addresses
Primary practice location
1108 Northview Dr
Suite 1
Hillsboro, OH 45133-1184
Mailing address
5400 Dupont Cir
Suite a
Milford, OH 45150-2793
Phone (513) 576-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224772 | Medicaid | OH | |
| H144670 | Other | OH | MEDICAIRE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120427000460 | OH | Order and Referring Only - Family Practice | 0042340614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35095089 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1902046261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 DUPONT CIR",
"address_2": "SUITE A",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502793",
"telephone_number": "513-576-7700",
"fax_number": "513-576-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 NORTHVIEW DR",
"address_2": "SUITE 1",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451331184",
"telephone_number": "937-393-5781",
"fax_number": "937-393-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35095089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2224772",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAIRE PTAN",
"identifier": "H144670",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.