Organization Active NPI

Haley Dermatology LLC

  • Legal Medicine
  • Fairhope, AL
National Provider Identifier
1194891150
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
HALEY DERMATOLOGY LLC
Practice address
202 Rock Creek Pkwy
Fairhope, AL 36532-3349
Phone
(251) 928-3844
Fax
(251) 928-3353
NPI assigned
Nov 28, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Heather R Haley, M.D.NPI 1063493716
Title
Owner President
Phone
(251) 928-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X Primary

Addresses

Primary practice location

202 Rock Creek Pkwy
Fairhope, AL 36532-3349

Mailing address

202 Rock Creek Parkway
Fairhope, AL 36532-3349
Phone (251) 928-3844

National Provider Directory

National Provider Directory

Locations

770 Middle St
#A
Fairhope, AL 36532
Phone (251) 928-3844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1194891150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROCK CREEK PARKWAY",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323349",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROCK CREEK PKWY",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323349",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "251-928-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.