Mary Anne Morelli Haskell, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

#20A-5729 Issued in CA

Practice address

1203 2ND St
Coronado, CA 92118-1417

Phone

(619) 437-6600

Fax

(619) 437-6603

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 13, 2016 through Jul 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Walter Cohen Osteopathy Corporation

  • Neuromusculoskeletal Medicine & OMM Physician
  • San Diego, CA
  • NPI 1184154957
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396961629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 2ND ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181417",
            "telephone_number": "619-437-6600",
            "fax_number": "619-437-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 2ND ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181417",
            "telephone_number": "619-437-6600",
            "fax_number": "619-437-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLI HASKELL",
        "first_name": "MARY ANNE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "#20A-5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler John Mitchell, MD
• Stephen Joseph Moffett, O.D. APC
• Elsie Marie Molenaar
• Moneer Jaibaji, MD, Inc.
• Joseph Lee Moore, M.D.
• Martha Elva Morett, DDS
• Jessica Ryan Morris, LPCC
• John/1942 Paul Morton, MD
• Robert Mullan, CMT
• Jordan Munro-Rankin

• Pediatrics Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.