Russell Shawn Haseley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011778 Issued in NY

Practice address

468 Delaware Ave FL 3
Buffalo, NY 14202-1335

Phone

(716) 847-1200

Fax

(716) 847-1212

NPI assigned

Oct 3, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Pain Management of Virginia LLC

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1700637592
  Medicare reassignment NPD
• Scott Wagner Integrated Medicine LLC

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1447875042
  Medicare reassignment NPD
• Scott a. Croce DC PC

  • Chiropractor
  • Buffalo, NY
  • NPI 1265503098
  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1619757036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 DELAWARE AVE FL 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021335",
            "telephone_number": "716-847-1200",
            "fax_number": "716-847-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 DELAWARE AVE FL 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021335",
            "telephone_number": "716-847-1200",
            "fax_number": "716-847-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELEY",
        "first_name": "RUSSELL",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moiz Gul Hasan, DDS
• Omar Hasan, M.D.
• Syeda Natasha Hasan, M.D.
• Bilal Hasanspahic, MD
• Nicole Marie Haseley, AGNP
• Alia Hasham, MD
• Zohra Hasham, DDS
• Ariba Hashmi, DO
• Mazzaz Hashmi
• Lilian Haskill, M.S. CCC-SLP

• Chiropractor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.