HALEY HANI MATTY (NPI# 1245758739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245758739 |
| Entity Type | Individual |
| Full Name | HALEY HANI MATTY |
| Practice Address |
26000 Hoover Rd Warren MI 48089 |
| Mailing Address |
26000 Hoover Rd Warren MI 48089-1167 |
| Practice Telephone | 5867220707 |
| Mailing Telephone | 5867220707 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008291 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29600 S Wixom Rd, Wixom, MI 483933459 | 2486681900 |
| Street Address |
26000 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386777324 | Stasio Chiropractic Center P.C. | Chiropractor | 26000 Hoover Rd, Suite 110 Stasio Chiropractic Center, Warren, MI 48089 | 2007-03-13 |
| 1912512575 | Park Warren Physical Therapy LLC | Clinic/Center | 26000 Hoover Rd, Warren, MI 48089-1167 | 2020-09-10 |
| 1477109528 | Premier Medical Movement Management Company LLC | Clinic/Center | 26000 Hoover Rd, Warren, MI 48089-1167 | 2019-08-14 |
| 1760034532 | Heba Habib Shathaya | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089-1167 | 2019-07-11 |
| 1225695232 | Kelsey Anne Macconnachie | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089-1167 | 2019-05-24 |
| 1558882241 | Randy Neil Marvin Levesque | Nurse Practitioner | 26000 Hoover Rd, Warren, MI 48089-1167 | 2017-07-03 |
| 1245695287 | Mariam Aziz | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089-1167 | 2015-12-17 |
| 1578967881 | Hoover Family Dental Pllc | Clinic/Center | 26000 Hoover Rd, Suite # 102, Warren, MI 48089 | 2014-10-15 |
| 1265874150 | Warren Family Medical Center Pllc | Family Medicine | 26000 Hoover Rd, 100, Warren, MI 48089-1167 | 2013-07-22 |
| 1225378631 | Warren Pharmacy | Pharmacy | 26000 Hoover Rd, Warren, MI 48089-1167 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481476 | Samantha Reidt | Physician Assistant | 30957 Lorraine Ave, Warren, MI 48093-8014 | 2014-10-08 |
| 1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
| 1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
| 1447331459 | Michelle Elizabeth Cruz | Physician Assistant | 2104 E 11 Mile Rd Ste 600, Warren, MI 48091-6123 | 2006-10-17 |
| 1003416165 | Alexis Rose Vavala | Physician Assistant | 1885 Market St, Warren, PA 16365-1277 | 2020-10-28 |
| 1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
| 1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
| 1942671169 | Stephanie Duda | Physician Assistant | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-10-14 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.