Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly R. Haisley, MD

Individual provider Surgery Physician · NPI 1154688323

Dr. Kelly R. Haisley, MD is a General Surgery in Columbus, Ohio. Graduated from University of Washington School of Medicine in 2012, 14 years ago. Practices with Osu Surgery, LLC, a 204-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
14
Trained at
University of Washington School of Medicine
Licensed in
OH
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 Zollinger Rd
Columbus, OH 43221-2849
Phone: (614) 293-3230
Fax: (614) 293-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35136518 (OH)

Record details

NPI number1154688323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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