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DR. FREDERICK P. HAYNES M.D.
NPI 1861409013
Surgery in Champaign, IL

Active since August 01, 2006
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820(217) 366-1228 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Frederick P. Haynes M.d. NPPES

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

DR. FREDERICK P. HAYNES M.D. (NPI 1861409013) is an individual surgery provider in Champaign, Illinois, licensed in Illinois (036-042860) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1861409013
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. FREDERICK P. HAYNESCredential: M.D.
Location Address101 W UNIVERSITY AVEChampaign, IL 61820-3909
Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-8107
Phone(217) 366-1228
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 15, 2014
✔ NPI 1861409013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036-042860
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
101 W UNIVERSITY AVE, Champaign, IL 61820
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Other Identifiers 6

Medicare UPINC37382IL
Other279500Medicare Group
Medicare PINP00747
Other020016079Railroad Medicare
Medicaid036042860 1IL
Medicare NSC0407950001IL

Other Providers at the Same Location NPPES 20

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

ELLEN FLORA
Physician Assistant
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1248
JASMINE A EVANS PT, DPT
Physical Therapist
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1323
MRS. SARAH SHOEMAKER CNM
Advanced Practice Midwife
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1255
PATRICIA FAIRCHILD OT
Occupational Therapist
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1323
MR. RICHARD JEAN A.T.C.
Specialist/Technologist (Athletic Trainer)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1327
MS. CATHY HINTON C.N.M.
Advanced Practice Midwife
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1255
WHITNEY KAUFFMAN PA
Physician Assistant (Medical)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-8107
DR. SALIM G. KHAZOUM MD
Pathology (Anatomic Pathology & Clinical Pathology)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 337-2310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Haynes's NPI number?

The NPI number for Frederick Haynes is 1861409013. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Frederick Haynes located?

Frederick Haynes practices at 101 W University Ave, Champaign, IL 61820. The listed phone number is (217) 366-1228.

What is Frederick Haynes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Frederick Haynes was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.