Individual provider Active NPI

M. Lee Haselkorn, M.D.

  • Anesthesiology Physician
  • Wheeling, WV
National Provider Identifier
1417119009
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33157 Issued in WV
Practice address
1 Medical Park
Wheeling, WV 26003-6379
Phone
(304) 243-3000
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33157 WV Primary
Anesthesiology Physician 207L00000X 258192 NY
Anesthesiology Physician 207L00000X MD449206 PA

Addresses

Primary practice location

1 Medical Park
Wheeling, WV 26003-6379

Mailing address

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.lee.hasselkorn@direct.aultman.org aultman hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, WV3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130910000707 PA Practitioner - Anesthesiology 9335383504 Reassigns benefits to 4 organizations
I20220121000499 OH Practitioner - Anesthesiology 9335383504 Reassigns benefits to 4 organizations
I20231129002069 WV Practitioner - Anesthesiology 9335383504 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258192NYMDAnesthesiology Physician
MD449206PAMDAnesthesiology Physician
33157WVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Feb 15, 2022 Accepting new patients
Reynolds Memorial Hospital, Inc Anesthesiology CurrentSince Dec 4, 2023 Accepting new patients
Butler Medical Providers CurrentSince Jan 2, 2026 Accepting new patients
Keystone Anesthesia Consultants, LTD Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Wheeling Hospital, Inc. Anesthesiology CurrentSince Dec 4, 2023 Accepting new patients
Butler Medical Providers CurrentSince Jan 2, 2026 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Sep 22, 2014 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
United Hospital Center, Inc. Anesthesiology CurrentSince Apr 10, 2024 Accepting new patients
Wheeling Hospital Ambulatory Surgery Center LLC CurrentSince Oct 16, 2023 Accepting new patients
Wheeling Hospital Inc CurrentSince Dec 4, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 15, 2022 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Aug 9, 2024 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients

Locations

68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
Ste A2800
Canton, OH 44710

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2000 Oxford Dr
Ste 303
Bethel Park, PA 15102
Phone (412) 572-6066

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

109 Mount Wood Rd
#1
Wheeling, WV 26003

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: m.lee.hasselkorn@direct.aultman.org
  • Direct secure messaging: lhaselkorn@direct.excelahealth.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical Providers 355 clinicians
Wheeling Hospital Inc 433 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 283-6666

1 Medical Park
Wheeling, WV 26003-6379

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1417119009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELKORN",
        "first_name": "M. LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "33157",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "258192",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD449206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.lee.hasselkorn@direct.aultman.org",
            "affiliation": "Y",
            "affiliationName": "aultman hospital",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.