NPIMap

Individual provider Active NPI

Jonathan David Haffner, MD

  • Family Medicine Physician
  • Carthage, MO
National Provider Identifier
1093818031
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008016018 Issued in MO
Practice address
3116 Medical Park Drive
Carthage, MO 64836-3059
Phone
(417) 358-7574
NPI assigned
Sep 6, 2006
Last updated
May 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008016018 MO Primary

Addresses

Primary practice location

3116 Medical Park Drive
Carthage, MO 64836-3059

Mailing address

3116 Medical Park Drive
Carthage, MO 64836-3059
Phone (417) 358-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000751 MO Practitioner - Family Practice 6709949498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospital CarthageGroup PAC ID 8426225251, 23 clinicians

Practice addresses (Care Compare)

3116 Medical Park Dr
Carthage, MO 64836-1211
Phone (417) 358-7574

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Current Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy Hospital Carthage Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Mercy Hospital Carthage CurrentSince Jan 1, 2012 Accepting new patients

Locations

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

6151 N Main Street Rd
Webb City, MO 64870
Phone (417) 556-5350

Interoperability endpoints

  • Direct secure messaging: jhaffner287459@directb.mercy.net
  • Direct secure messaging: jhaffner297115@directc.mercy.net

Organizations & group practices 4

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

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1093818031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 MEDICAL PARK DRIVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-358-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 MEDICAL PARK DRIVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-358-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFNER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008016018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.