Byron Haitas (NPI# 1275646119, PAC ID# 6103803440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275646119 |
| PAC ID by PECOS | 6103803440 |
| Professional Enrollment ID | I20040727001458 |
| Full Name | Byron Haitas |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Address |
313 N Main St Ashland City TN 37015-1347 |
| Phone Number | 6157923030 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9931204237 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| 441311 | TRISTAR ASHLAND CITY MEDICAL CENTER |
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 313 N Main St, Ashland City, TN 37015-1347 | 6157923030 | CENTENNIAL HEART LLC |
| 111 Hwy 70 E, Dickson, TN 37055-2080 | 6154464633 | CENTENNIAL HEART LLC |
| 111 Hwy 70 E, Suite D, Dickson, TN 37055-2080 | 6155151900 | CENTENNIAL HEART LLC |
| 585 Interstate Dr, B, Manchester, TN 37355-3191 | 6155151900 | CENTENNIAL HEART LLC |
| 2300 Patterson St, Nashville, TN 37203-1538 | 6152222100 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 103, Nashville, TN 37203-1577 | 6155151900 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 | 6155152100 | CENTENNIAL HEART LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Webber | Internal Medicine | Centennial Heart LLC | 302 N Congress Blvd, Smithville, TN 37166-2704 |
| Sandeep Duggal | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 |
| Thomas H Cabell | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2933 Medical Ctr Pkwy D, Murfreesboro, TN 37129-2391 |
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Thomas S Johnston | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 7100 Adams Dr, Fairview, TN 37062-7237 |
| Sunil C Kaza | Interventional Cardiology | Centennial Heart LLC | 491 Sage N Rd, Suite 400, White House, TN 37188-9361 |
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Gary Wayne Yawn Jr. | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 353 New Shackle Island Rd, Bldg C Suite 300, Handersonville, TN 37075-2329 |
| Marita Walton Ellis | Nurse Practitioner | Centennial Heart LLC | 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 |
| Andrew T Mcrae | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 125 Memorial Dr, Franklin, KY 42134-2752 |
| Street Address |
313 N MAIN ST |
| City | ASHLAND CITY |
| State | TN |
| Zip | 37015-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Anderson | Family Medicine | Tristar Family Care LLC | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 |
| Robert Edward Green | Emergency Medicine | Lone Peak Inpatient Services Pllc | 313 N Main St, Ashland City, TN 37015-1347 |
| Patrick J Murphy | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Brian L Berger | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| John G Bartek | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Patrick L Brien | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Stuart H Caplan | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Robert Joseph Mangialardi | Pulmonary Disease | Columbia Medical Group - The Frist Clinic Inc | 313 N Main St, Ashland City, TN 37015-1347 |
| Gary T Patterson | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Ketsia B Pierre | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Edgar Shoemaker | Family Medicine | 302 N Main St, Ashland City, TN 37015-1306 | |
| John A Morehead | Obstetrics/gynecology | Advanced Diagnostic Imaging PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Robert S Young | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Ellis L Goodin | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Brandy E Stewart | Nurse Practitioner | Tristar Family Care LLC | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 |
| Kyle D Kakac | Emergency Medicine | Lone Peak Inpatient Services Pllc | 313 N Main St, Ashland City, TN 37015-1347 |
| Beata Panzegrau | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Deana D Hooton | Nurse Practitioner | Tristar Family Care LLC | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 |
| Gregory L Lassiter | Diagnostic Radiology | Radiology Alliance PC | 313 N Main St, Ashland City, TN 37015-1347 |
| Jennifer Williams | Nurse Practitioner | Tristar Family Care LLC | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 |
| Find all physicians in zip 37015 | |||
| City | ASHLAND CITY |
| Zip Code | 37015 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ASHLAND CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Byron Haitas.
| 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.