Individual provider Active NPI

Haley Ann Thommen, PA-C

  • Physician Assistant
  • Hunt Valley, MD
National Provider Identifier
1336790021
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
226 Schilling Cir Ste 170
Hunt Valley, MD 21031-8641
Phone
(410) 448-6400
Fax
(410) 785-4840
NPI assigned
Sep 24, 2019
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MD Primary
Physician Assistant 363A00000X C0007374 MD

Addresses

Primary practice location

226 Schilling Cir Ste 170
Hunt Valley, MD 21031-8641

Mailing address

226 Schilling Cir Ste 170
Hunt Valley, MD 21031-8641
Phone (410) 448-6400

Other practice location 1

351 W Camden St Ste 501
Baltimore, MD 21201-2493
Phone (410) 448-6400

Other practice location 2

515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282
Phone (410) 448-6400

Other names 1

  • Haley Ann Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211000595 MD Practitioner - Physician Assistant 5597198275 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007374MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Trauma Associates, PA Past Accepting new patients
University of Maryland Orthopaedic Associates P a Past Accepting new patients

Organizations & group practices 4

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1336790021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SCHILLING CIR STE 170",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318641",
            "telephone_number": "410-448-6400",
            "fax_number": "410-785-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SCHILLING CIR STE 170",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318641",
            "telephone_number": "410-448-6400",
            "fax_number": "410-785-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Camden St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212012493",
            "country_code": "US",
            "telephone_number": "410-448-6400",
            "fax_number": "410-244-0636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 S Tollgate Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210145282",
            "country_code": "US",
            "telephone_number": "410-448-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMMEN",
        "first_name": "HALEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "JACOBS",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.