Individual provider Active NPI

James Haney, D.O.

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1184782138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JH005593 Issued in MI
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4539332MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000864 MI Practitioner - Family Practice 0244366201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JH005593MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Centers Detroit Foundation, Inc. CurrentSince Oct 1, 2003 Accepting new patients
Health Centers Detroit Foundation, Inc. CurrentSince Oct 1, 2003 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.