Individual
DR. ROSS RICHARD HAYNES
Active
Individual
DR. ROSS RICHARD HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11013790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000660509
ANTHEM
IN
05
—
200985850
—
IN
01
—
M400019054
MEDICARE
IN
01
—
P00845099
RAILROAD MEDICARE
IN
Enumeration date
05/21/2008
Last updated
05/29/2013
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