Mark S Hackman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34493 Issued in AZ

Practice address

525 N 18TH Street
Suite 302
Phoenix, AZ 85006-4102

Phone

(602) 257-0200

Fax

(602) 257-0201

NPI assigned

Oct 20, 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

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.

• Tri City Medical Hospitalists LLC

  • Internal Medicine Physician
  • N Las Vegas, NV
  • NPI 1275579385
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174606602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 W TWAIN AVENUE",
            "address_2": "SUITE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-839-0946",
            "fax_number": "702-839-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 18TH STREET",
            "address_2": "SUITE 302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064102",
            "telephone_number": "602-257-0200",
            "fax_number": "602-257-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Hackett, CCC-SLP
• George Hackett, MS, ATC, CSCS
• John Peter Hackett III, M.D.
• Mary Beth Hackett, B.S. IN SPEECH
• Stephanie Hackett, LMSW
• Amanda Aaron Hackwell, PHD
• Homyra Hadavand, M.D.
• Ashley Haddad
• Christine Samir Haddad, M.D., PHD
• Imad Haddad, M.D.

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.