Provider Demographics
NPI:1730112640
Name:HADLEY, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:HADLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6101 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3900
Mailing Address - Country:US
Mailing Address - Phone:239-348-4081
Mailing Address - Fax:239-348-4355
Practice Address - Street 1:6101 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3900
Practice Address - Country:US
Practice Address - Phone:239-348-4081
Practice Address - Fax:239-348-4355
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148573207Y00000X
FLME107918207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000523837006OtherCOMMUNITY BLUE
FLDQ113OtherMEDICARE PTAN
NY14540AOtherRAI ROAD MEDICARE
NY100959OtherPREFERRED CARE
NJ699986OtherGHI
NYG0182467590OtherBLUE CHOICE
NYP010148753OtherBLUE SHIELD
NY5979356OtherAETNA
FL002419100Medicaid
NY00759619Medicaid
NJ699986OtherGHI
NMB72222Medicare UPIN