Mark Woods Haecker, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

41179 Issued in MN

Practice address

523 N 3Rd St
Brainerd, MN 56401-3054

Phone

(218) 829-2861

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Nebraska College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Joseph'S Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Medicare reassignment Care Compare group NPD
• St Joseph'S Medical Center

  • Multi-Specialty Clinic/Center
  • Staples, MN
  • NPI 1538916101
  NPD
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Crosslake, MN
  • NPI 1477509776
  NPD
• Regional Anesthesia Services PA

  • Anesthesiology Physician
  • Minnetonka, MN
  • NPI 1073621850
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph'S Medical Center

  • General Practice Physician
  • Brainerd, MN
  • NPI 1184866956

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Anesthesiology Physician
  • Brainerd, MN
  • NPI 1336465038

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Crosslake, MN
  • NPI 1477509776

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Multi-Specialty Clinic/Center
  • Emily, MN
  • NPI 1538571914

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pierz, MN
  • NPI 1568418861

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pine River, MN
  • NPI 1649223603

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pequot Lakes, MN
  • NPI 1730134891

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brainerd, MN
  • NPI 1740393032

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pillager, MN
  • NPI 1891740957

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1063565166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAECKER",
        "first_name": "MARK",
        "middle_name": "WOODS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "41179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra K Gutzman, PHARMD
• Michael Haarstad, M.D.
• Luke T Haas, D.O.
• Dale Hadland, MD
• Michelle Teresa Hadrich
• J Frederick Hall, M.D.
• Laura Carolyne Halonen, LPC LICENSE PROFESSI
• Ronald Halvorson, MD
• Taylor Marie Halvorson, PA-C
• Hanger Prosthetics & Orthotics East Inc

• Anesthesiology Physician in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Anesthesiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.