Nicole Maria-Phyllis Hauck, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD150739 Issued in OR

Practice address

151 W 7TH Ave
Suite 100
Eugene, OR 97401-1100

Phone

(541) 682-3550

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Village Chiropractic and Wellness P.L.L.C.

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1053489351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "541-682-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "541-682-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "NICOLE",
        "middle_name": "MARIA-PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M5217",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD150739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Hatch, MS
• Sage Hatch
• Peter L Hatfield, MD
• Deidre Lynn Hathaway, #171M00000X - CASE M
• Roland Hathway, LPC, QMHP
• Megan Patero Haug, LMT
• Julie A Haugen, MD
• Matthew M Haugen, MD
• Megan Claire Haughton, DO
• Cheryl Haun, MA

• Pediatrics Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.