Provider Demographics
NPI:1982590758
Name:HAINES, EMILY GRACE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:GRACE
Last Name:HAINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2900 BARTOLD AVE APT 118
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143-3608
Mailing Address - Country:US
Mailing Address - Phone:574-298-5494
Mailing Address - Fax:
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ UNIT 3W
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:574-298-5494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025021590207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine