Daniel Haithcock (NPI# 1275635427, PAC ID# 4789588096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1275635427 |
| PAC ID by PECOS | 4789588096 |
| Professional Enrollment ID | I20090713000480 |
| Full Name | Daniel Haithcock |
| Organization Legal Name | MACON ELECTROPHYSIOLOGY ASSO, P.C. |
| Address |
1710 Watson Blvd Warner Robins GA 31093-3632 |
| Phone Number | 4783221101 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 7012801590 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110069 | HOUSTON MEDICAL CENTER |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 777 Hemlock St, Macon, GA 31201-2102 | 4786337140 | HEALTH SERVICES OF CENTRAL GEORGIA |
| 1710 Watson Blvd, Warner Robins, GA 31093-3632 | 4783221101 | MACON ELECTROPHYSIOLOGY ASSO, P.C. |
| Organization Legal Name | MACON ELECTROPHYSIOLOGY ASSO, P.C. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacey Coffey | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Kathleen S Frazier | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 811 N Cobb St, Milledgeville, GA 31061-2389 |
| Amy Shiley Groover | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 |
| Charneika C Brown | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Roberta S Brett | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Joseph W Poku | Cardiovascular Disease (cardiology) | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Steven Michael Rosenthal | Cardiovascular Disease (cardiology) | Macon Electrophysiology Asso, P.C. | 811 N Cobb St, Milledgeville, GA 31061-2389 |
| Felix O Sogade | Cardiac Electrophysiology | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Bridget J Leary | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 |
| Street Address |
1710 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip | 31093-3632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacey Coffey | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Charneika C Brown | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Roberta S Brett | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Joseph W Poku | Cardiovascular Disease (cardiology) | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Felix O Sogade | Cardiac Electrophysiology | Macon Electrophysiology Asso, P.C. | 1710 Watson Blvd, Warner Robins, GA 31093-3632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Story | Nurse Practitioner | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Danielle A Andrews | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Jovan S Adams | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Latoya D Jackson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Christopher Deshawn Watson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Cynthia R Taylor | Nurse Practitioner | Women's Healthcare of Middle Georgia, Inc. | 1025 N Houston Rd, Warner Robins, GA 31093-1505 |
| Alan Gadson Struth | Internal Medicine | 1037 N Houston Rd, Warner Robins, GA 31093-1505 | |
| Manoj H Shah | Obstetrics/gynecology | Physicians for Women, PC | 1021 N Houston Rd, Warner Robins, GA 31093-1505 |
| Malcolm S Moore Jr. | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| John C Ervin | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| Find all physicians in zip 31093 | |||
| City | WARNER ROBINS |
| Zip Code | 31093 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | WARNER ROBINS + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Daniel Haithcock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.