DR. DANIEL B. HAITHCOCK (NPI# 1275635427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275635427 |
| Entity Type | Individual |
| Full Name | DR. DANIEL B. HAITHCOCK |
| Credential | M.D. |
| Practice Address |
639 Hemlock St. Suite 100 Macon GA 31201-6889 |
| Practice Telephone | 4787551560 |
| Practice Fax Number | 4787551562 |
| Mailing Telephone | 4787551560 |
| Mailing Fax Number | 4787551562 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
061887 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
200400346 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BH8048236 | 01 | |
| GA | 931451901A | 05 |
| Street Address |
639 HEMLOCK ST. SUITE 100 |
| City | MACON |
| State | GA |
| Zip Code | 31201-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457523367 | Julius Brandon Elmore | Internal Medicine | 1062 Forsyth St Ste 1b, Macon, GA 31201-8638 | 2008-03-31 |
| 1922217926 | Onajefe S. Nelson-twakor | Internal Medicine | 770 Pine St Ste 200, Macon, GA 31201-7513 | 2007-05-22 |
| 1407994437 | Georgia Heart Physicians LLC | Internal Medicine | 654 First St, Macon, GA 31201 | 2007-02-02 |
| 1063414324 | Thomas P Meyer | Internal Medicine | 360 Hospital Dr Bldg D, Suite 200, Macon, GA 31217-3874 | 2005-06-01 |
| 1417951740 | Georgia Heart & Vascular Center PC | Internal Medicine | 360 Hospital Dr. Bldg. D., Ste. 200, Macon, GA 31217-3874 | 2005-06-01 |
| 1093136681 | Middle Georgia Heart Rhythm Specialists, LLC | Internal Medicine | 427 Poplar St, Macon, GA 31201-3335 | 2013-12-26 |
| 1437495538 | Meyer Cardiology, PC | Internal Medicine | 360 Hospital Dr, Bldg D, Ste 200, Macon, GA 31217-8047 | 2012-12-17 |
| 1205113057 | Middle Georgia Heart and Vascular Center, LLC | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2011-11-08 |
| 1962650440 | Olexandr V. Smolensky | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2008-09-08 |
| 1255489274 | Ahmed Ijaz Shah | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2007-01-08 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.