Edward Stewart Haight, M.D.
Individual provider Active NPI Neurology Physician · Gray, LA
NPI 1972509818 · NPPES record last updated May 29, 2017
Key facts
- NPI
- 1972509818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- MD.023100 (LA)
- Practice address
- 128 Neuroscience CT
Gray, LA 70359-5209 - Phone
- (985) 917-3007
- Fax
- (985) 447-4209
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Louisiana State University School of Medicine in New Orleans, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Neuro Diagnostic Monitoring, LLC
Southeast Neuroscience Center, LLC
Practice addresses (Care Compare)
106 Amaryllis Dr
Lafayette, LA 70503-3215
Phone (337) 406-0883
114 Neuroscience CT
Imaging Center of South Louisiana
Gray, LA 70359-5209
Phone (985) 917-3007
128 Neuroscience CT
Gray, LA 70359-5209
Phone (985) 917-3007
Hospital & facility affiliations
- Fmol Health St Francis
- Our Lady of Lourdes Regional Medical Center, Inc
- Lafayette Surgical Specialty Hospital
- Thibodaux Regional Medical Center
- Opelousas General Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001099 | LA | Practitioner - Neurology | 8426129719 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.023100 | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Diagnostic Monitoring, LLC | Current |
Accepting new patients | |
| Southeast Neuroscience Center, LLC | Past |
Accepting new patients |
Locations
106 Amaryllis Dr
Lafayette, LA 70503
Phone (337) 406-0883
Interoperability endpoints
- ehaight408167@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD.023100 | LA | Yes |
Addresses
Primary practice location
128 Neuroscience CT
Gray, LA 70359-5209
Mailing address
PO Box 1930
Gray, LA 70359-1930
Phone (985) 917-3007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1484382 | Medicaid | LA |
Other providers in Gray, LA
- Donald Severinus Gervais Jr.
- Wendy Suddeth Gervais
- Rodney Joseph Gisclair Jr.
- Andrea Gomez
- Kami Hebert Grob
- Michelle M Harris
- Headache & Pain Center, a Medical Corporation
- Kristy Hebert
- Home Away From Home Transportation
- Britany Keyon Jackson
All providers in Gray, LA · Neurology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.