ROBERT CLARK HAYNES III DO
NPI 1114510849
Preventive Medicine - Public Health & General Preventive Medicine in Apo, AE
NPI Status: Active since February 13, 2021
Contact Information
MEDDAC-BAVARIA
CMR 411 UNIT 28037
APO, AE
ZIP 09112
Phone: (253) 968-4986
- Individual
- Male
- Preventive Medicine
- Public Health & General Preventive Medic...
- PECOS Enrolled
About ROBERT HAYNES
This page provides the complete NPI Profile along with additional information for Robert Haynes, a provider established in Apo, with a medical specialization in Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1114510849 assigned on February 2021. The practitioner's primary taxonomy code is 2083P0901X with license number OP61333637 (WA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1114510849
- Provider Name
- ROBERT CLARK HAYNES III DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- MEDDAC-BAVARIA CMR 411 UNIT 28037 APO, AE 09112
- Location Phone
- (253) 968-4986
- Mailing Address
- MEDDAC-BAVARIA CMR 411 UNIT 28037 APO, AE 09112
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-13-2021
- Last Update Date
- 09-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OP61333637
- License State
- WA
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | OP61333637 (WA) |
Medicare Participation & PECOS Enrollment Status
Robert Haynes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 1 | 0 | 8 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 1 | 0 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 1 + 0 + 8 + 8 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114510849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114018603 | MR. ANDREW S JARMUS MSW, LCSW Individual | Social Worker (Clinical) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 590-3615 |
| 1740443860 | DR. GAGE RIDDOCH PSYD, ABPP, LCSW Individual | Psychologist (Clinical) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (145) 901-8113 |
| 1134734353 | MARK PARK DDS Individual | Dentist | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 590-2800 |
| 1588692032 | DR. OSCAR RAMOS M.D. Individual | Psychiatry & Neurology (Psychiatry) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (000) 590-3662 |
| 1114446184 | PATRICK MICHAEL ROBERTS PA Individual | Physician Assistant | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (586) 354-0576 |
| 1548780752 | JUSTIN M KILGORE DPT Individual | Physical Therapist | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 390-4324 |
| 1679821482 | MIGUEL ARMANDO FRAGUEIRO LCSW Individual | Social Worker (Clinical) | MEDDAC-BAVARIA CMR 411 UNIT 28037 APO, AE 09112 (314) 590-2560 |
| 1811438955 | DR. JUSTINE MICHELLE MASON PH.D. Individual | Psychologist (Clinical) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 590-3378 |
| 1467188532 | DR. MICA YSABEL TAN DMD Individual | Dentist (General Practice) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 590-3247 |
| 1356997191 | KAYLYNN S ROOT LCDC Individual | Counselor (Addiction (Substance Use Disorder)) | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (143) 545-2091 |
| 1932575941 | CARSON AM TABIOLO Individual | Psychologist (Clinical) | MEDDAC-BAVARIA PSC 411 UNIT 28037 APO, AE 09112 (314) 590-3878 |
| 1710568951 | DR. TIMOTHY BINKLEY MD Individual | Family Medicine | MEDDAC-BAVARIA CMR 411 APO, AE 09112 (314) 590-1735 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114510849, enumerated in the NPI registry as an "individual" on February 13, 2021
The provider is located at Meddac-bavaria Cmr 411 Unit 28037 Apo, Ae 09112 and the phone number is (253) 968-4986
The provider's speciality is Preventive Medicine with taxonomy code 2083P0901X with a focus in Public Health & General Preventive Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on February 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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