MICHAEL COLLINS HADLEY (NPI# 1417209610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417209610 |
| Entity Type | Individual |
| Full Name | MICHAEL COLLINS HADLEY |
| Credential | PA-C |
| Practice Address |
200 S Herlong Ave Ste B Rock Hill SC 29732-1182 |
| Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
| Practice Telephone | 8033241950 |
| Practice Fax Number | 8033241933 |
| Mailing Telephone | 7067213813 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2274 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
006576 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 006576 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 30912 | 7067213671 | |
| 197 Piedmont Blvd Ste 100, Rock Hill, SC 297321824 | 8033241950 | 8033241933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211572 | Michael Hadley | Student in an Organized Health Care Education/Training Program | 115 E 91st St, New York, NY 10128-1601 | 2015-04-02 |
| 1336196625 | Michael Hadley | Family Medicine | 34876 Us 19 N, Palm Harbor, FL 34684-1918 | 2006-05-30 |
| 1922539865 | Michael Dennis Hadley | Family Medicine | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-03-22 |
| 1841420668 | Michael Hadley | Case Manager/Care Coordinator | 11 Chesley St, Concord, NH 03301-3760 | 2009-07-15 |
| 1568561066 | Michael Delane Hadley | Surgery | 3144 Santa Anita Ave, El Monte, CA 91733-1316 | 2006-09-21 |
| 1699797811 | Michael L Hadley | Dermatology | 1560 Renaissance Towne Dr, Ste 210, Bountiful, UT 84010-7680 | 2006-07-24 |
| Street Address |
200 S HERLONG AVE STE B |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900826 | Barry B.k. Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 S Herlong Ave Ste B, Rock Hill, SC 29732 | 2005-11-28 |
| 1194248286 | Melanie Marie Bucciarelli | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2017-07-20 |
| 1760899009 | Melissa Pacello | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2014-07-18 |
| 1508189184 | Jennifer Graham Gainer | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2010-03-10 |
| 1164756102 | Heather Nicole Hale | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-09-23 |
| 1346478153 | Djeunou Tchamba | Internal Medicine | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-06-30 |
| 1316044266 | Michelle M Matarese | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2006-09-20 |
| 1568408623 | Peter K Zakow | Surgery | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568551729 | Jodi Jean Lackey | Physician Assistant | 200 S Herlong Ave, Suite E1, Rock Hill, SC 29732 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
| Find all providers with the same taxonomy | ||||
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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.