Heather a Haynes MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-090126 Issued in OH

Legal business name

HEATHER A HAYNES MD LLC

Practice address

2265 Hayes Ave
Fremont, OH 43420-2632

Phone

(419) 333-8231

Fax

(419) 332-2553

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Heather Ann Haynes, M.D.

Title

President

Phone

(419) 333-8231

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1912199746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-333-8231",
            "fax_number": "419-332-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-333-8231",
            "fax_number": "419-332-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A HAYNES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-333-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-090126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2770078",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35-090126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Hatlay
• Andrea Nicole Hayes, PA-C
• Achante Haywood
• Hear Again Comany, LLC
• Heartland Home Care LLC
• Brooke Nicole Heminger
• Kamee Leigh Henson
• Krista Kae Hernandez, DPT
• Joseph Willard Hershey, A.T.,C./L
• Casandra Hetrick, P.C.

• Family Medicine Physician in Fremont, OH
• Providers in Fremont, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.