Mark S. Hammar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-734 Issued in ID

Practice address

37 S 2ND E Ste 202
Rexburg, ID 83440-1906

Phone

(208) 356-0234

Fax

(208) 656-8440

NPI assigned

Apr 6, 2007

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhammar@direct.madisonmemorial.org

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.

• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1134592017
  Medicare reassignment
• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rigby, ID
  • NPI 1356026280
  NPD
• Madison Co Memorial Hospital

  • Psychiatry Physician
  • Rexburg, ID
  • NPI 1477122570
  NPD
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  NPD
• Mountain View Hospital Physician Organization

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1073834529
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1609998731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S 2ND E STE 202",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401906",
            "telephone_number": "208-356-0234",
            "fax_number": "208-656-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S 2ND E STE 202",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401906",
            "telephone_number": "208-356-0234",
            "fax_number": "208-656-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Professional Plz",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834402049",
            "country_code": "US",
            "telephone_number": "208-656-8868",
            "fax_number": "208-656-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMAR",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Rex Gundersen, PHARMD
• Layne E Hacking, DMD
• Sally Hacking, O.D.
• Emily Hackworth
• Joseph Michael Haeberle, NP
• Carolyn Huntsman Hammer
• Justin Hammer, DPT
• Maiya Hammer, PTA
• Ronald John Hammond, D.D.S.
• Victoria Hammond

• Medical Physician Assistant in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.

Verify at the official NPI Registry.