Individual provider Active NPI

Susan Beth Hainley, DO

  • Family Medicine Physician
  • Duncansville, PA
National Provider Identifier
1922072594
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005366L Issued in PA
Practice address
153 Bradley Way
Duncansville, PA 16635-5223
Phone
(814) 695-2509
NPI assigned
Feb 13, 2006
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS005366L PA
Family Medicine Physician 207Q00000X OS005366L PA Primary

Addresses

Primary practice location

153 Bradley Way
Duncansville, PA 16635-5223

Mailing address

153 Bradley Way
Duncansville, PA 16635-5223
Phone (814) 695-2509

Other identifiers 1

IdentifierTypeStateIssuer
001447522MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000378 PA Practitioner - Family Practice 2365571767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005366LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 27, 2018 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 27, 2018 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients

Locations

227 Hospital Dr
#1
Everett, PA 15537
Phone (814) 623-9095

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1922072594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BRADLEY WAY",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166355223",
            "telephone_number": "814-695-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRADLEY WAY",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166355223",
            "telephone_number": "814-695-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINLEY",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS005366L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005366L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001447522",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

Verify at the official NPI Registry.