Individual provider Active NPI

Mariah Marie Haney, MEDICAL ASSISTANT

  • Obstetrics & Gynecology Physician
  • Cleveland Heights, OH
National Provider Identifier
1669284303
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207VG0400X Issued in OH
Practice address
1488 Crest Rd, Cleveland Heights, Oh, USA
Cleveland Heights, OH 44121
Phone
(216) 644-3048
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207VG0400X OH Primary

Addresses

Primary practice location

1488 Crest Rd, Cleveland Heights, Oh, USA
Cleveland Heights, OH 44121

Mailing address

1488 Crest Rd, Cleveland Heights, Oh, USA
Cleveland Heights, OH 44121
Phone (216) 644-3048

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
207VG0400XOHMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1669284303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 CREST RD, CLEVELAND HEIGHTS, OH, USA",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-644-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 CREST RD, CLEVELAND HEIGHTS, OH, USA",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-644-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "MARIAH",
        "middle_name": "MARIE",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "207VG0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.