John H Haynes Jr. (NPI# 1528097912, PAC ID# 0446162358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1528097912 |
PAC ID by PECOS | 0446162358 |
Professional Enrollment ID | I20080423000074 |
Full Name | John H Haynes Jr. |
Organization Legal Name | WK OIL CITY MEDICAL CLINIC |
Address |
103 S Louisiana Hwy 1 Oil City LA 71061-9776 |
Phone Number | 3189956504 |
Gender | M |
Credential | MD |
Graduation Year | 1964 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9537269857 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
191304 | NORTH CADDO MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
103 S Louisiana Hwy 1, Oil City, LA 71061-9776 | 3189956504 | WK OIL CITY MEDICAL CLINIC |
Organization Legal Name | WK OIL CITY MEDICAL CLINIC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen Walker | Family Medicine | Wk Oil City Medical Clinic | 103 S Louisiana Hwy 1, Oil City, LA 71061-9776 |
Street Address |
103 S LOUISIANA HWY 1 |
City | OIL CITY |
State | LA |
Zip | 71061-9776 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen Walker | Family Medicine | Wk Oil City Medical Clinic | 103 S Louisiana Hwy 1, Oil City, LA 71061-9776 |
City | OIL CITY |
Zip Code | 71061 |
Specialty | FAMILY MEDICINE |
City + Specialty | OIL CITY + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.