Organization Active NPI

Daniel M. Haile, PLLC

  • Anesthesiology Physician
  • Cookeville, TN
National Provider Identifier
1902267024
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
43048 Issued in TN
Legal business name
DANIEL M. HAILE, PLLC
Practice address
2298 Herbert Garrett Rd
Cookeville, TN 38506-3400
Phone
(615) 686-1958
NPI assigned
Mar 17, 2016
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Daniel Minasse Haile, MDNPI 1629069562
Title
Owner
Phone
(615) 686-1958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43048 TN Primary

Addresses

Primary practice location

2298 Herbert Garrett Rd
Cookeville, TN 38506-3400

Mailing address

2298 Herbert Garrett Rd
Cookeville, TN 38506-3400
Phone (615) 686-1958

Other identifiers 1

IdentifierTypeStateIssuer
Q020600MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160505000103 TN Part B Supplier - Clinic/Group Practice 1658670146 Receives reassigned benefits from 1 practitioner
Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1902267024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 HERBERT GARRETT RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385063400",
            "telephone_number": "615-686-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 HERBERT GARRETT RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385063400",
            "telephone_number": "615-686-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M. HAILE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MINASSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-686-1958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "43048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020600",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.