Gary Boyd Haffner, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

C39098 Issued in CA

Practice address

132 Mee Thee-Uh Rd
Ft. Bidwell, CA 96112

Phone

(530) 279-6115

Fax

(530) 279-6100

NPI assigned

Sep 8, 2006

Last updated

Sep 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA, TX2 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

Internal Medicine

Education

Loma Linda University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fort Bidwell Indian CommunityGroup PAC ID 5890960355, 3 clinicians

Surprise Valley Health Care DistrictGroup PAC ID 1658368519, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Surprise Valley Community Hospital Hospital, Cedarville, CA, CCN 051308

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.haffner.p1@direct.warnermountainihp.nextgenshare.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/survalh-86281d9a

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.

• Fort Bidwell Indian Community

  • Rural Health Clinic/Center
  • Fort Bidwell, CA
  • NPI 1093931107

  TX

  Medicare reassignment Care Compare group
• Orohealth Corporation a Non Profit Healthcare System

  dba Orohealth Professional Group

  • Family Medicine Physician
  • Oroville, CA
  • NPI 1013933167
  Medicare reassignment NPD
• Surprise Valley Health Care District

  • Critical Access Hospital
  • Cedarville, CA
  • NPI 1801973052
  Medicare reassignment NPD
• Surprise Valley Health Care District

  • Medicare Defined Swing Bed Hospital Unit
  • Cedarville, CA
  • NPI 1023194222
  NPD
• Surprise Valley Health Care District

  dba Surprise Valley Medical Clinic

  • Rural Health Clinic/Center
  • Cedarville, CA
  • NPI 1073693651
  NPD (past)

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

• Surprise Valley Health Care District

  • Critical Access Hospital
  • Cedarville, CA
  • NPI 1801973052
  Care Compare affiliation

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1407950710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "address_2": "745 N. MAIN STREET",
            "city": "CEDARVILLE",
            "state": "CA",
            "postal_code": "96104",
            "telephone_number": "530-279-6194",
            "fax_number": "530-279-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MEE THEE-UH RD",
            "city": "FT. BIDWELL",
            "state": "CA",
            "postal_code": "96112",
            "telephone_number": "530-279-6115",
            "fax_number": "530-279-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFNER",
        "first_name": "GARY",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C39098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Bidwell Indian Community
• Jerome Ranson Simpson II, MPH, BSDH

• Hospitalist Physician in Fort Bidwell, CA
• Providers in Fort Bidwell, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.