DR. THOMAS MATTHEWS HAIZLIP (NPI# 1275742579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275742579 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MATTHEWS HAIZLIP |
| Credential | M.D. |
| Practice Address |
820 S Boylan Ave Scott Building Raleigh NC 27603-2246 |
| Mailing Address |
5201 Rembert Dr Raleigh NC 27612-6245 |
| Practice Telephone | 9197335344 |
| Mailing Telephone | 9197878914 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11165 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378725 | Thomas M Haizlip Jr. | Surgery | 436 Hospital Drive, Suite 200, Linville, NC 28646 | 2005-10-04 |
| Street Address |
820 S BOYLAN AVE SCOTT BUILDING |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093721714 | Jacqueline Gaillard Gibson | Physician Assistant | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2006-08-01 |
| 1477870608 | Elizabeth F Lansing | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2010-04-28 |
| 1972745453 | George Timothy Dennard | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2009-03-31 |
| 1306085212 | Gordon Kyle Lavin | Psychiatry & Neurology | 820 S Boylan Ave, 2 East, Raleigh, NC 27603-2246 | 2009-02-17 |
| 1760690705 | Tanya Rose Cheevers | Psychiatry & Neurology | 820 S Boylan Ave, Mcbryde Bldg., Raleigh, NC 27603-2246 | 2007-05-21 |
| 1740498286 | Judy Neal Bennett | Pharmacist | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-05-18 |
| 1124246111 | Nicole Francoise Wolfe | Psychiatry & Neurology | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-23 |
| 1316164254 | Dorothea Dix Hospital | General Acute Care Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-20 |
| 1861526113 | James Kraig Dixon | Social Worker | 820 S Boylan Ave, Raleigh, NC 27699-0001 | 2007-03-16 |
| 1265571277 | Dorothea Dix Hospital | Psychiatric Residential Treatment Facility | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-02-06 |
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|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1245465053 | Herman Aronov Naftel | Psychiatry & Neurology | 107 Sunnybrook Road, Raleigh, NC 27610 | 2009-05-22 |
| 1467676510 | Douglas Michael Conrad | Psychiatry & Neurology | 4505 Fairmeadow Ln, Suite 208, Raleigh, NC 27607-6449 | 2007-04-12 |
| 1346397833 | Hima B Palakurthi | Psychiatry & Neurology | 5904 Norwood Knolls Way, Raleigh, NC 27614-8296 | 2007-01-05 |
| 1427066802 | Laura Earle Horgan | Psychiatry & Neurology | Msc, Raleigh, NC 27699-3601 | 2006-08-03 |
| 1497230775 | Restoration Counseling Center | Psychiatry & Neurology | 5868 Faringdon Pl, Raleigh, NC 27609-3931 | 2018-10-02 |
| 1033582002 | Abdul Khalid, Md, Pa | Psychiatry & Neurology | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2015-11-12 |
| 1619292471 | National Mentor Healthcare, LLC | Psychiatry & Neurology | 3125 Poplarwood Ct, Suite 300, Raleigh, NC 27604-1084 | 2010-04-05 |
| 1396950630 | Ellison & Associates of Raleigh PC | Psychiatry & Neurology | 2920 Highwoods Blvd, Suite 127, Raleigh, NC 27604-1015 | 2007-05-11 |
| 1528103819 | Gerald Bruce Sibrack | Psychiatry & Neurology | 1100 Navaho Drive, Suite 105, Raleigh, NC 27609 | 2007-02-21 |
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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.