Elisa J Haley MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27081 Issued in AL

Legal business name

ELISA J HALEY MD PC

Practice address

4800 Whitesport Cir SW
Suite 1
Huntsville, AL 35801-6444

Phone

(256) 327-0888

Fax

(256) 327-0891

NPI assigned

Jun 24, 2008

Last updated

Jan 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisa J Haley, MDNPI 1114092830

Title

President

Phone

(256) 327-0888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisa Jane Haley, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1114092830
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1649431313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA J HALEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-327-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehab El-Bahesh, M.D.
• Janelle Jaclyn Elam, PT, DPT
• Elc Consulting LLC
• Eldercare of North Alabama, LLC
• Elderly Care Associates
• Elite All-Care Services LLC
• Elite Eye Care of Huntsville
• Ashley Elaine Fountain Elkins, CAA
• Tiffani Elkourie, CRNP
• Leslie K Elledge, CRNA

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.