Active NPI
Mark Charles Haigney, M.D.
- Cardiovascular Disease Physician
- Bethesda, MD
National Provider Identifier
1538230693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0040225
- Practice address
- 4301 Jones Bridge Rd
Bethesda, MD 20814-4712 - Phone
- (301) 295-3826
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0040225 | MD | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | D0040225 | MD |
Addresses
Primary practice location
4301 Jones Bridge Rd
Bethesda, MD 20814-4712
Mailing address
4301 Jones Bridge Rd
Bethesda, MD 20814-4712
Phone (410) 295-0465
Other practice location 1
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (301) 295-3826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0040225 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160718002483 | MD | Order and Referring Only - Cardiovascular Disease (Cardiology) | 8224321948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0040225 | MD | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1538230693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144712",
"telephone_number": "410-295-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144712",
"telephone_number": "301-295-3826"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "301-295-3826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIGNEY",
"first_name": "MARK",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0040225",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MD",
"license": "D0040225",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D0040225",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.