NPIMap

Individual provider Active NPI

Haiqiao Jiao, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Akron, OH
National Provider Identifier
1851659981
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
35.146616 Issued in OH
Practice address
3925 Embassy Pkwy Ste 200
Akron, OH 44333
Phone
(330) 668-4055
Fax
(330) 668-4077
NPI assigned
Apr 26, 2012
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Plastic Surgery Physician 208200000X 52137 KY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 52137 KY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 35.146616 OH Primary

Addresses

Primary practice location

3925 Embassy Pkwy Ste 200
Akron, OH 44333

Mailing address

3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400
Phone (330) 668-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111001360 OH Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 6002112307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3925 Embassy Pkwy
Akron, OH 44333-1782
Phone (330) 668-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.146616OHMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC Plastic Surgery CurrentSince Sep 7, 2022 Accepting new patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Sep 7, 2022 Accepting new patients

Locations

3925 Embassy Pkwy
Akron, OH 44333
Phone (330) 668-4055

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

72 5th St SE
Ste A
Barberton, OH 44203
Phone (330) 670-4111

4466 Fulton Dr NW
Canton, OH 44718
Phone (330) 489-1386

3925 Embassy Pkwy
Ste 200
Fairlawn, OH 44333
Phone (330) 668-4050

6701 Rockside Rd
Ste 103
Independence, OH 44131
Phone (216) 369-2800

Interoperability endpoints

  • Direct secure messaging: haiqiao.jiao@1376.chartlogic.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1851659981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338400",
            "telephone_number": "330-668-4040",
            "fax_number": "330-668-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-4055",
            "fax_number": "330-668-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIAO",
        "first_name": "HAIQIAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "52137",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "52137",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "35.146616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.