C DOYLE HAYNES MD PA (NPI# 1841514445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841514445 |
| Entity Type | Organization |
| Organization Name | C DOYLE HAYNES MD PA |
| Practice Address |
1105 W Frank Ave Ste 290 Lufkin TX 75904-3303 |
| Practice Telephone | 9366995040 |
| Practice Fax Number | 9366995044 |
| Mailing Telephone | 9366995040 |
| Mailing Fax Number | 9366995044 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | DR. CLARENCE DOYLE HAYNES (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9366995040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E3705 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 212905801 | 05 | |
| TX | LICENSE NUMBER | E3705 | 01 |
| Street Address |
1105 W FRANK AVE STE 290 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154399871 | Jennifer Lynn Kalmer | Physical Medicine & Rehabilitation | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-03-09 |
| 1205198561 | Rachael Elizabeth Sullivan | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2012-06-13 |
| 1770849184 | Rebekah Koch, M.d., Pllc | Psychiatry & Neurology | 1105 W Frank Ave, Suite 280, Lufkin, TX 75904-3303 | 2012-04-10 |
| 1417119603 | Rebekah W Koch | Psychiatry & Neurology | 1105 W Frank Ave, Ste 280, Lufkin, TX 75904-3303 | 2008-06-28 |
| 1568623155 | Basem Ramzi Shabb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2008-06-17 |
| 1952599037 | Carolyn Marie Moyers | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2007-10-14 |
| 1144427261 | Dixie Ann Mcclendon-coker | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 110, Lufkin, TX 75904-3303 | 2007-07-02 |
| 1407946205 | Jerry H. Jenkins, M.d., P.a. | Family Medicine | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-10-13 |
| 1255437893 | Robert M Standerford | Physician Assistant | 1105 W Frank Ave, Ste. 290, Lufkin, TX 75904-3303 | 2006-09-14 |
| 1093764284 | David A Ladden | Internal Medicine | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2006-05-08 |
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|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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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.