Individual provider Active NPI

Haley L P Owen, MD

  • Anesthesiology Physician
  • Whitefish Bay, WI
National Provider Identifier
1093886145
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1733-850 Issued in WI
Practice address
6043 N Berkeley Blvd
Whitefish Bay, WI 53217-4643
Phone
(414) 507-8844
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1733-850 WI Primary

Addresses

Primary practice location

6043 N Berkeley Blvd
Whitefish Bay, WI 53217-4643

Mailing address

6043 N Berkeley Blvd
Whitefish Bay, WI 53217-4643
Phone (414) 507-8844

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address howen11740@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000153 WI Practitioner - Anesthesiology 0840320529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

950 N 12TH St
Milwaukee, WI 53233-1306
Phone (414) 219-7956

Hospital & facility affiliations

  • Aurora Medical Center Hospital, Grafton, WI, CCN 520207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1733-850WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Midwest Area Physicians, LLC Anesthesiology Past Accepting new patients

Locations

945 N 12th St
Ste 3858
Milwaukee, WI 53233

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123

Interoperability endpoints

  • Direct secure messaging: howen11740@direct.myadvocateaurora.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1093886145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 N BERKELEY BLVD",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174643",
            "telephone_number": "414-507-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 N BERKELEY BLVD",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174643",
            "telephone_number": "414-507-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "HALEY",
        "middle_name": "L P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "1733-850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6043 N Berkeley Blvd",
            "city": "Whitefish Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532174643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "howen11740@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "6043 N Berkeley Blvd",
            "city": "Whitefish Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532174643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.