Active NPI
Dennis W. Haver, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Ravenna, OH
National Provider Identifier
1487665337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 35-059923
- Practice address
- 6847 N Chestnut St
Ravenna, OH 44266-3929 - Phone
- (330) 297-0811
- NPI assigned
- Aug 10, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 35-059923 | OH | Primary |
Addresses
Primary practice location
6847 N Chestnut St
Ravenna, OH 44266-3929
Mailing address
3428 Hunters Xing
Stow, OH 44224-4746
Phone (330) 677-9385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000027272 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0957317 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-059923 | OH | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1487665337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3428 HUNTERS XING",
"city": "STOW",
"state": "OH",
"postal_code": "442244746",
"telephone_number": "330-677-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6847 N CHESTNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663929",
"telephone_number": "330-297-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVER",
"first_name": "DENNIS",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "35-059923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "00000027272",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0957317",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.