Active NPI
Haley Hani Dickow
- Physician Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5334
- Practice address
- 2500 Metrohealth Dr
Cleveland, OH 44109-1900 - Phone
- (216) 477-0017
- NPI assigned
- Sep 5, 2017
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5334 | SC | Primary |
| Medical Physician Assistant | 363AM0700X | 5601008291 | MI |
Addresses
Primary practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Mailing address
PO Box 23321
New York, NY 10087-4321
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@directmusc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, SC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
169 Ashley Ave
Charleston, SC 29425-8905
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
2500 Metrohealth Dr
Cleveland, OH 44109-1998
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2978 | NE | MD | Physical Therapist |
| 5334 | SC | MD | Physician Assistant |
| 5601008291 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients | |
| Muc-Papillion LLC | Past | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
Interoperability endpoints
- hdickow274913@direct.metrohealth.org
Organizations & group practices 8
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 MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
dba Metrohealth Professional Group
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
dba MetroHealth Brooklyn Memphis Pharmacy
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba Midlands Family Urgent Care
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1841159944
-
dba RMC Pharmacy
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1245758739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 METROHEALTH DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091900",
"telephone_number": "216-477-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKOW",
"first_name": "HALEY",
"middle_name": "HANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5334",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601008291",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@directmusc.edu",
"affiliation": "N",
"endpointDescription": "SKIP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SKIP",
"address_1": "PO Box 23321",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100874321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.