Hadley Health Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18911 Issued in OK

Legal business name

HADLEY HEALTH SERVICES LLC

Practice address

1920 N Broadway Ave
Shawnee, OK 74804-3722

Phone

(405) 924-0938

Fax

(405) 759-9005

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

David L Hadley, MD

Title

Medical Provider

Phone

(405) 924-0938

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1215435110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043722",
            "telephone_number": "405-924-0938",
            "fax_number": "405-759-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043722",
            "telephone_number": "405-924-0938",
            "fax_number": "405-759-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADLEY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "405-924-0938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "18911",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Gunn, FNP
• Kaitlyn Renee Gunter, PTA
• Phillip A. Haddad, M.D.
• Tristaan Haddad
• Walid John Haddad, M.D.
• Hadley Ventures, Inc
• David Lewis Hadley, M.D.
• Josiah Abram Hadsall
• Lisa Marie Hadsall, COTA/L
• La Rita R Haffey, REGISTERED NURSE

• All providers in Shawnee, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.