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HEATHER A HAYNES MD LLC NPI 1912199746


NPI Information

NPI: 1912199746
Provider Name: HEATHER A HAYNES MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2265 HAYES AVE
FREMONT, OH
ZIP 43420
Phone: (419) 333-8231
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HEATHER A HAYNES MD LLC is a family medicine in Fremont, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEATHER A HAYNES MD LLC NPI is 1912199746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2265 HAYES AVE
FREMONT, OH
ZIP 43420-632
Phone: (419) 333-8231
Fax: (419) 332-2553

The provider's authorized official is Heather Ann Haynes .
The authorized official title is President and has the following contact phone number (419) 333-8231.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 4/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35-090126OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HE9371071MEDICARE PINOHIO
235-090126OTHEROHIOMEDICAL LICENSE
32770078MEDICAIDOHIO
4HA4219521MEDICARE PINOHIO

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

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