Troy Adam Haselip, OWNER

Primary specialty

DriverTaxonomy code 172A00000X

License

9570911 Issued in OR

Practice address

39349 River Dr
Lebanon, OR 97355-8915

Phone

(541) 971-5469

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1013417104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39349 RIVER DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973558915",
            "telephone_number": "541-971-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39349 RIVER DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973558915",
            "telephone_number": "541-971-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELIP",
        "first_name": "TROY",
        "middle_name": "ADAM",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "OR",
            "license": "9570911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26-3985015",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Harding, MD
• Andrew Thomas Harger, MD
• Andres Francois Harris Caceres
• Beckston Harrott
• Maria Hartrum, LMT
• Cortnie Hoefel Haun, MS, CCC-SLP
• Hailee Ann Hawkins
• Madeline Hay
• Janine Natalie Hein, M.D.
• John Edward Hein, M.D.

• Driver in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Driver in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.