NICHOLAS WAYNE HAYNIE DO - NPI 1023877305 - Student in an Organized Health Care Education/Training Program in Dayton, OH

Q: What is Nicholas Haynie's NPI number?

The NPI number for Nicholas Haynie is 1023877305. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Nicholas Haynie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Haynie was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nicholas Wayne Haynie Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS WAYNE HAYNIE DO (NPI 1023877305) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023877305

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS WAYNE HAYNIECredential: DO

Location Address2555 UNIVERSITY BLVD.Dayton, OH 45324

Mailing Address482 N Ridge AveIdaho Falls, ID 83402-3721 · (435) 757-8128

Phone(937) 775-8188

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedApril 1, 2023

✔ NPI 1023877305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2555 UNIVERSITY BLVD., Dayton, OH 45324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Wayne Haynie Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KURTIS RAPIER DO