Individual provider Active NPI

Ryan J Haun

  • Speech-Language Pathologist
  • South Charleston, OH
National Provider Identifier
1669701751
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-7480 Issued in OH
Practice address
6276 London Plattsburg Rd
South Charleston, OH 45368-8801
Phone
(937) 408-2829
NPI assigned
Dec 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-7480 OH Primary

Addresses

Primary practice location

6276 London Plattsburg Rd
South Charleston, OH 45368-8801

Mailing address

6276 London Plattsburg Rd
South Charleston, OH 45368-8801
Phone (937) 408-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001772 UT Practitioner - Qualified Speech Language Pathologist 5890151880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

250 E Ctr St
Orem, UT 84057-5523
Phone (385) 449-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-7480OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Apr 10, 2023 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Apr 10, 2023 Accepting new patients
Alpha and Omega Staffing Solutions, Inc. PastSince Apr 3, 2011 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

2664 W 11400 S
South Jordan, UT 84095
Phone (801) 214-1010

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1669701751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 LONDON PLATTSBURG RD",
            "city": "SOUTH CHARLESTON",
            "state": "OH",
            "postal_code": "453688801",
            "telephone_number": "937-408-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 LONDON PLATTSBURG RD",
            "city": "SOUTH CHARLESTON",
            "state": "OH",
            "postal_code": "453688801",
            "telephone_number": "937-408-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUN",
        "first_name": "RYAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.