Active NPI
Haley Ann Thommen, PA-C
- Physician Assistant
- Hunt Valley, MD
National Provider Identifier
1336790021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007374 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1760885958
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1598718256
-
- Pediatric Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1740235274
-
- Orthopaedic Trauma Physician
- Baltimore, MD
- NPI 1497708051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.