Ryan Matthew Haely, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 3160 Issued in OH

Practice address

7500 Town Centre Dr
Ste 300
Broadview HTS, OH 44147-4009

Phone

(440) 838-5755

NPI assigned

May 23, 2005

Reactivated

Mar 28, 2006

Last updated

Aug 31, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Haely Chiropractic, Inc.

  • Chiropractor
  • Broadview HTS, OH
  • NPI 1891916797
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1881697001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6162 CARLYLE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312920",
            "telephone_number": "216-986-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR",
            "address_2": "STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474009",
            "telephone_number": "440-838-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAELY",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-08-31",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC 3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282551",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PAYEE NUM",
            "identifier": "341958266-001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Geiger, COTA/L
• Camille George, SLP
• Kara Gingo
• Rita Ann Gittinger, MA,CCC,SLP
• Haely Chiropractic, Inc.
• David A Harding, D.P.M.
• Healthsource of Broadview Heights
• Andreana Marella Hendrickson, SLP
• Janice Lynn Hensley
• Shannon Hensley, COTA/L

• Chiropractor in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.