ERIC HAYNES (NPI# 1982000550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982000550 |
| Entity Type | Individual |
| Full Name | ERIC HAYNES |
| Practice Address |
Psc Box 20116 Camp Lejeune Apo AA 28542-0073 |
| Mailing Address |
Psc Box 20116 Camp Lejeune NC 28542-0073 |
| Practice Telephone | 9104499965 |
| Mailing Telephone | 9104499965 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MILITARY HEALTH CARE PROVIDER / SPECIAL OPERATIONS INDEPENDENT D | 1710I1002X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1376077388 | Eric W Haynes | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-04-17 |
| 1972954220 | Eric Charles Haynes | Family Medicine | 4378 Holt Rd, Holt, MI 48842-1634 | 2016-06-28 |
| 1205269594 | Eric Haynes | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2013-08-09 |
| 1982671954 | Eric R Haynes | Anesthesiology | 5413 George St, New Port Richey, FL 34652-4101 | 2006-03-08 |
| Street Address |
PSC BOX 20116 CAMP LEJEUNE |
| City | APO |
| State | AA |
| Zip Code | 28542-0073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1881243525 | Alexander Thomas Rodgers | Military Health Care Provider | 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 | 2019-09-05 |
| 1992352454 | Kirsten Janel Snow | Physician Assistant | Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 | 2019-08-20 |
| 1639735947 | Cody Robert Patton | Military Health Care Provider | 3rd Marine Raider Battalion, Bldg 614, Camp Lejeune, Nc, NC 28542 | 2019-05-13 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| 1578032504 | Brendon Earl Dumas | Military Health Care Provider | Rr612 Everett Creek Road, Camp Lejeune, NC 28542 | 2018-11-20 |
| 1053896514 | Roy Atallah | Military Health Care Provider | 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 | 2018-10-01 |
| 1316422975 | Zachary Thomas Monahan | General Practice | Hm Smith Boulevard Bldg Fc-308, Camp Lejeune, NC 28542 | 2018-09-30 |
| Find all providers in zip 28542 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1720624992 | Joshua Marcus Kuepper | Military Health Care Provider | 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 | 2019-11-22 |
| 1568929636 | Rory Joseph Farrell | Military Health Care Provider | Camp Pendleton, Apo, AA 00000 | 2019-02-26 |
| 1063938967 | Scott Thomas Sears | Military Health Care Provider | 1st Marine Logistics Group, Medical Battalion, Apo, AP 92055 | 2017-08-22 |
| 1497275515 | Scott Francis Rosenfield | Military Health Care Provider | Naval Special Warfare Unit Two, Unit 30401, Apo, AE 09107-0401 | 2017-06-20 |
| 1477957454 | Charles Edward East Jr. | Military Health Care Provider | 6th Marine Regiment, Apo, AE 28542 | 2014-10-20 |
| 1497168629 | Joseph Thomas | Military Health Care Provider | Us Naval Hospital Okinawa Camp Foster, Psc 482, Apo, AP 96362-1600 | 2014-06-05 |
| 1619220357 | Joezette Denise Julien | Military Health Care Provider | 357140, Maritime Expeditionary Security Squadron Three Medical, Apo, AP 92135-7140 | 2012-10-18 |
| 1871870022 | Ken Samuel Conklin | Military Health Care Provider | Psc Box 20073, Camp Lejeune, Nc, Apo, AA 28542-0073 | 2011-11-15 |
| 1922305127 | Erik M Schaefer | Military Health Care Provider | Camp Mujuk, Unit 15017, Apo, AP 96218-0173 | 2011-02-24 |
| Find all providers in APO | ||||
Please comment or provide details below to improve the information on ERIC HAYNES.
| 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.