Active NPI
Kelsey Marie Hayden-Whiteman, DO
- Pediatrics Physician
- Carlisle, PA
National Provider Identifier
1881257244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS022052
- Practice address
- 1211 Forge Rd Ste 300
Carlisle, PA 17013-3183 - Phone
- (717) 218-3920
- NPI assigned
- Apr 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS022052 | PA | Primary |
Addresses
Primary practice location
1211 Forge Rd Ste 300
Carlisle, PA 17013-3183
Mailing address
138 Copperleaf Dr
Mechanicsburg, PA 17050-9206
Phone (717) 314-9799
Other names 1
- Dr. Kelsey Marie Hayden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS022052 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients |
Locations
1211 Forge Rd
Ste 300
Carlisle, PA 17013
Phone (717) 218-3920
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
Organizations & group practices 4
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.
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- Harrisburg, PA
- NPI 1861988644
-
- Family Medicine Physician
- Hershey, PA
- NPI 1457110793
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Cardiovascular Disease Physician
- Camp Hill, PA
- NPI 1134874779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1881257244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 COPPERLEAF DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509206",
"telephone_number": "717-314-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FORGE RD STE 300",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133183",
"telephone_number": "717-218-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN-WHITEMAN",
"first_name": "KELSEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-20",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS022052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "HAYDEN",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.