Active NPI
Douglas Wayne Harley, DO
- Family Medicine Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34008403
- Practice address
- 676 South Broadway Street
Canal Physicians Group
Akron, OH 44311-1059 - Phone
- (330) 344-4000
- Fax
- (330) 253-2349
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008403 | OH | Primary |
Addresses
Primary practice location
676 South Broadway Street
Canal Physicians Group
Akron, OH 44311-1059
Mailing address
676 South Broadway Street
Canal Physicians Group
Akron, OH 44311-1059
Phone (330) 344-4000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3600271 | Other | OH | CFM MEDICARE GROUP # |
| 0290886 | Other | OH | CFM MEDICAID GROUP # |
| 1548207111 | Other | OH | CFG TYPE 2 NPI # |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| 1821035940 | Other | OH | AGMC (CFM)TYPE 2 NPI # |
| 4177252 | Other | OH | MEDICARE PTAN (PPG) |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
| 2555739 | Medicaid | OH | |
| 7402171 | Other | OH | MEDICARE PTAN (CFM) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
224 W Exchange St
Suite 160
Akron, OH 44302-1705
Phone (330) 344-6505
224 W Exchange St
Suite 225
Akron, OH 44302-1726
Phone (330) 344-7400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Partners Physician Group | Family Medicine | Current | Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients | |
| Partners Physician Group | Family Medicine | Past | Accepting new patients |
| Partners Physician Group | Past | Accepting new patients | |
| Concordia of Ohio | Past | Accepting new patients |
Locations
1 Akron General Ave
Fl 5
Akron, OH 44307
Phone (330) 344-4000
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
676 S Broadway St
Akron, OH 44311
Phone (330) 344-4000
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400
1 Akron General Ave
Fl 2ACC
Akron, OH 44307
1 Akron General Ave
Fl 2
Akron, OH 44307
Phone (330) 344-4243
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3593 S Arlington Rd
Green, OH 44312
Phone (330) 896-0281
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
33 North Ave
Ste 104
Tallmadge, OH 44278
Phone (330) 344-3990
Interoperability endpoints
- dharley314537@direct.ccf.org
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
dba Community Access and Wellness - HWE
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
-
dba Akron General Urgent Care
- Urgent Care Clinic/Center
- Tallmadge, OH
- NPI 1992138028
-
dba Concordia at Sumner
- Nursing Facility/Intermediate Care Facility
- Copley, OH
- NPI 1659453876
-
dba Mercy Health Home Medical Equipment Youngstown
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
-
dba Canal Physician Group
- Family Medicine Physician
- Akron, OH
- NPI 1548207111
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
dba Concordia at Sumner
- Nursing Facility/Intermediate Care Facility
- Copley, OH
- NPI 1659453876
Nursing home
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1376530519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 SOUTH BROADWAY STREET",
"address_2": "CANAL PHYSICIANS GROUP",
"city": "AKRON",
"state": "OH",
"postal_code": "443111059",
"telephone_number": "330-344-4000",
"fax_number": "330-253-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 SOUTH BROADWAY STREET",
"address_2": "CANAL PHYSICIANS GROUP",
"city": "AKRON",
"state": "OH",
"postal_code": "443111059",
"telephone_number": "330-344-4000",
"fax_number": "330-253-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "DOUGLAS",
"middle_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFM MEDICARE GROUP #",
"identifier": "3600271",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFM MEDICAID GROUP #",
"identifier": "0290886",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFG TYPE 2 NPI #",
"identifier": "1548207111",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
"identifier": "2551671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
"identifier": "9338635",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGMC (CFM)TYPE 2 NPI #",
"identifier": "1821035940",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (PPG)",
"identifier": "4177252",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
"identifier": "1841239274",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2555739",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (CFM)",
"identifier": "7402171",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.