Active NPI
Lawrence R Haft, MD
- Cardiovascular Disease Physician
- Everett, WA
National Provider Identifier
1679513774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00024244
- Practice address
- 12728 19TH Ave SE
Suite 200
Everett, WA 98208-6526 - Phone
- (425) 225-2700
- Fax
- (425) 225-2790
- NPI assigned
- Jun 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00024244 | WA | Primary |
Addresses
Primary practice location
12728 19TH Ave SE
Suite 200
Everett, WA 98208-6526
Mailing address
12728 19TH Ave SE
Suite 200
Everett, WA 98208-6526
Phone (425) 225-2700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8105744 | Medicaid | WA | |
| MD00024244 | Other | WA | STATE LICENSE NUMBER |
| 0075983 | Other | WA | LABOR AND INDUSTRY |
| 060062231 | Other | WA | RAILRAOD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1679513774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 19TH AVE SE",
"address_2": "SUITE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086526",
"telephone_number": "425-225-2700",
"fax_number": "425-225-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 19TH AVE SE",
"address_2": "SUITE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086526",
"telephone_number": "425-225-2700",
"fax_number": "425-225-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFT",
"first_name": "LAWRENCE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00024244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8105744",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD00024244",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0075983",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "060062231",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.