MR. JEFFREY CALEB HAYNES (NPI# 1013073873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013073873 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY CALEB HAYNES |
| Credential | MD |
| Practice Address |
1425 Portland Avenue Rochester NY 14621 |
| Practice Telephone | 5859224031 |
| Practice Fax Number | 5859222971 |
| Mailing Telephone | 5859224031 |
| Mailing Fax Number | 5859222971 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
252834-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MT184278 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03106163 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801918768 | Jeffrey Michael Haynes | Chiropractor | 4821 N Damen Ave Unit 1, Chicago, IL 60625-1445 | 2007-04-04 |
| 1649340688 | Jeffrey D. Haynes | Chiropractor | 3865 Stockdale Hwy, Bakersfield, CA 93309-2188 | 2006-11-08 |
| 1023463908 | Jeffrey Emil Haynes | Registered Nurse | 38855 Hills Tech Dr Ste 200, Farmington Hills, MI 48331-3428 | 2016-04-28 |
| 1265857270 | Jeffrey Charles Haynes II | Occupational Therapist | 1061 Harmon Avenue, Winn Army Community Hospital, Fort Stewart, GA 31314 | 2014-02-27 |
| 1568706539 | Jeffrey Allan Haynes | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2012-11-15 |
| 1275659450 | Jeffrey Haynes | Counselor | 1 Long Wharf Dr, New Haven, CT 06511-5946 | 2007-03-21 |
| 1982771374 | Jeffrey L Haynes | Chiropractor | 4767 Highway 58, Ste 107, Chattanooga, TN 37416-2282 | 2006-11-29 |
| 1730170473 | Jeffrey H Haynes | Pediatrics | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-11-02 |
| Street Address |
1425 PORTLAND AVENUE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560205 | Denis M.a. Jones | Radiology | 1425 Portland Avenue, Rochester, NY 14621 | 2005-09-29 |
| 1700404860 | Prabhsimrat Singh Gill | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2020-07-06 |
| 1972165033 | Mahesh Nepal | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2019-06-28 |
| 1417518804 | Ather Hussain Syed | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2019-06-26 |
| 1528543618 | Danielle E Capierseho | Nurse Practitioner | 1425 Portland Avenue, Emergency Department, Rochester, NY 14621-3001 | 2018-09-25 |
| 1710491501 | Brittany Nicole Moulton | Nurse Practitioner | 1425 Portland Avenue, Wilson Building, Rochester, NY 14621 | 2017-12-01 |
| 1669997904 | Kirolos Nabil Barssoum | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2017-08-08 |
| 1902329295 | Simon Rozowsky | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2017-07-19 |
| 1629590088 | Mohammad Mufid Abu Sheikha | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2017-07-07 |
| 1801317532 | Nishit Atul Biniwale | Student in an Organized Health Care Education/Training Program | 1425 Portland Avenue, Rochester, NY 14621 | 2017-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031423 | Kai Jiang | Radiology | 617 4th St Sw Apt 3, Rochester, MN 55902-3286 | 2019-06-06 |
| 1891082442 | Shilpa Vyas | Radiology | 1425 Portland Ave # 223, Rochester, NY 14621-3011 | 2011-07-05 |
| 1235469032 | Haoming Qiu | Radiology | 601 Elmwood Ave Box 647, University of Rochester Medical Center, Rochester, NY 14642-0001 | 2009-12-30 |
| 1407883739 | Louis Sanders Constine | Radiology | 601 Elmwood Ave # 647, Rochester, NY 14642-0001 | 2006-06-26 |
| 1679560205 | Denis M.a. Jones | Radiology | 1425 Portland Avenue, Rochester, NY 14621 | 2005-09-29 |
| 1649811167 | Muhammad Shuja | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-10-06 |
| 1245893122 | Robert Wei Gao | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-04-17 |
| 1962965608 | Roman Kowalchuk | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-04-10 |
| 1366904989 | Kaitlin W Qualls | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-04-02 |
| 1962997700 | Danielle Anne Cunningham | Radiology | 200 1st St Sw, Rochester, MN 55905 | 2018-06-25 |
| Find all providers in ROCHESTER | ||||
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| 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.