Active NPI
James Haney, D.O.
- Family Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- JH005593
- Practice address
- 23077 Greenfield Rd Ste 489
Southfield, MI 48075-3740 - Phone
- (248) 423-3900
- Fax
- (248) 423-8169
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | JH005593 | MI | Primary |
Addresses
Primary practice location
23077 Greenfield Rd Ste 489
Southfield, MI 48075-3740
Mailing address
17555 Oak Dr
Detroit, MI 48221-2746
Phone (313) 861-3275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4539332 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JH005593 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Centers Detroit Foundation, Inc. | Current | Accepting new patients | |
| Health Centers Detroit Foundation, Inc. | Current | Accepting new patients | |
| Health Centers Detroit Foundation, Inc. | Past | Accepting new patients |
Locations
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6455 Gratiot Ave
Detroit, MI 48207
Phone (313) 921-8600
9221 E Jefferson Ave
Detroit, MI 48214
Phone (313) 822-9801
23077 Greenfield Rd
Ste 400
Southfield, MI 48075
Phone (313) 822-9801
23077 Greenfield Rd
Ste 489
Southfield, MI 48075
Phone (248) 395-6312
Interoperability endpoints
- jhaney@hcdg.adaptamed.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health Centers Detroit MedicalGroup
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1518026541
-
dba Health Centers Detroit Medical Group
- Federally Qualified Health Center (FQHC)
- Southfield, MI
- NPI 1386705804
-
dba Health Centers Detroit Medical Group
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1770657785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184782138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17555 OAK DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212746",
"telephone_number": "313-861-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23077 GREENFIELD RD STE 489",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753740",
"telephone_number": "248-423-3900",
"fax_number": "248-423-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "JH005593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4539332",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.