NATHAN B HAYNES PA-C NPI 1598755258

NPI Information

NPI: 1598755258
Provider Name: NATHAN B HAYNES, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MAINE MEDICAL PARTNERS

PECOS Registration: Yes

Address:
335 BRIGHTON AVE
SUITE 200
PORTLAND, ME
ZIP 04102
Phone: (207) 662-8600
Get Directions

Nathan B Haynes, PA-C is a surgical physician assistant in Portland, ME with 23 years of experience. Nathan B Haynes, PA-C NPI is 1598755258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

335 BRIGHTON AVE
SUITE 200
PORTLAND, ME
ZIP 04102-363
Phone: (207) 662-8600
Fax: (207) 662-8668

The NPI 1598755258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 8/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA742	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010416156	OTHER		TRAVELERS/CORE/MEDNET
2	041374	OTHER		ANTHEM
3	AP151502	MEDICARE PIN	MAINE
4	100294000	OTHER		USPS
5	AP151503	MEDICARE PIN	MAINE
6	1044480	OTHER		AETNA
7	AP1515	MEDICARE PIN	MAINE
8	0378600001	OTHER		DMERC
9	261270099	MEDICAID	MAINE
10	010416156	OTHER		CIGNA
11	970026451	OTHER		RR MEDICARE
12	P37739	MEDICARE UPIN
13	P01043974	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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