Randall W Haschke, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3711 Issued in AZ

Practice address

6247 E. Main Street
Suite 8
Mesa, AZ 85205

Phone

(480) 981-9151

Fax

(480) 981-0527

NPI assigned

Sep 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, WY2 enrollments

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 2

Specialty

Anesthesiology

Education

Nova Southeastern College of Osteo Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Teton Anesthesia LLCGroup PAC ID 2961796826, 7 clinicians

Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Medical Center Hospital, Jackson, WY, CCN 530015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244
  Medicare reassignment Care Compare group NPD
• Grand Teton Anesthesia, LLC

  • Anesthesiology Physician
  • Jackson, WY
  • NPI 1528417938
  Medicare reassignment Care Compare group NPD
• Teton County Hospital District

  • General Practice Physician
  • Jackson, WY
  • NPI 1487818605
  Medicare reassignment Care Compare group NPD
• Anesthesia Partners of Arizona LLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1619452901

  AZ

  Medicare reassignment NPD
• North Lincoln County Hospital District

  • Family Medicine Physician
  • Afton, WY
  • NPI 1730132523
  Medicare reassignment NPD
• North Lincoln County Hospital District

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  NPD
• Globe Crna Company, LLC

  • Certified Registered Nurse Anesthetist
  • Globe, AZ
  • NPI 1164482790
  NPD (past)
• Largo Anesthesia Associates

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1588739031
  NPD (past)

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

• Teton County Hospital District

  • General Acute Care Hospital
  • Jackson, WY
  • NPI 1801835475
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1114018256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 E. MAIN STREET",
            "address_2": "SUITE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-981-9151",
            "fax_number": "480-981-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 E. MAIN STREET",
            "address_2": "SUITE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-981-9151",
            "fax_number": "480-981-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASCHKE",
        "first_name": "RANDALL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Peter Hartwell, PMHNP-BC
• Emma Hartwig
• Faith Harvey
• Justin David Lee Harvey, PRSS
• Tamala Harvey, LAC
• Jenna Hase
• Kathryn Elizabeth Haskew, MS, CAGS, NCSP
• Connie Hasler, MA, LMFT
• Nejood Hassan
• Janna L Hassell, LAMFT

• Anesthesiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.