Active NPI
Jack S Haskin Jr., MD
- Orthopaedic Hand Surgery Physician
- Conway, SC
National Provider Identifier
1962573352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 9329
- Practice address
- 2376 Cypress Cir Ste 300
Conway, SC 29526-8995 - Phone
- (843) 347-7222
- Fax
- (843) 347-3305
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 9329 | SC | Primary |
Addresses
Primary practice location
2376 Cypress Cir Ste 300
Conway, SC 29526-8995
Mailing address
2376 Cypress Cir Ste 300
Conway, SC 29526-8995
Phone (843) 347-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Bone & Joint Surgery Center | Current | Accepting new patients |
Interoperability endpoints
- jack.haskin.1@29696.direct.athenahealth.com
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.
-
- Ambulatory Surgical Clinic/Center
- Myrtle Beach, SC
- NPI 1316924632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1962573352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 CYPRESS CIR STE 300",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268995",
"telephone_number": "843-347-7222",
"fax_number": "843-347-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 CYPRESS CIR STE 300",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268995",
"telephone_number": "843-347-7222",
"fax_number": "843-347-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKIN",
"first_name": "JACK",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": "9329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.