NPIMap

Individual provider Active NPI

Earl Gregory Haley, MD

  • Family Medicine Physician
  • Pataskala, OH
National Provider Identifier
1205076544
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57014690 Issued in OH
Practice address
One Healthy Place
Suite 102
Pataskala, OH 43062
Phone
(740) 348-1915
Fax
(740) 348-1916
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.097774 OH
Family Medicine Physician 207Q00000X 57014690 OH Primary

Addresses

Primary practice location

One Healthy Place
Suite 102
Pataskala, OH 43062

Mailing address

One Healthy Place
Suite 102
Pataskala, OH 43062
Phone (740) 348-1915

Other practice location 1

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000561 OH Practitioner - HospitalistPractitioner - Family Practice 4284894866 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Wright State University Boonshoft School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57014690OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Aug 13, 2017 Accepting new patients
North Coast Professional Company, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Hni Medical Services of Ohio, LLC Family Medicine CurrentSince Sep 18, 2019 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Ashtabula County Medical Center CurrentSince Oct 1, 2016 Accepting new patients
Community Hospitalist, LLC Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jul 1, 2018 Accepting new patients
Hospital Medicine Services of Ohio, Inc. Hospitalist CurrentSince Apr 5, 2016 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 13, 2017 Accepting new patients
Apogee Medical Group Ohio Inc CurrentSince May 20, 2017 Accepting new patients
Firelands Regional Medical Center Past Accepting new patients
Fairfield Medical Center Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Ohio Valley Physicians Inc Family Medicine Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1205076544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY PLACE",
            "address_2": "SUITE 102",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "43062",
            "telephone_number": "740-348-1915",
            "fax_number": "740-348-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY PLACE",
            "address_2": "SUITE 102",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "43062",
            "telephone_number": "740-348-1915",
            "fax_number": "740-348-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-4000",
            "fax_number": "419-479-6102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "EARL",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.097774",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57014690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.