Active NPI
Einar Thor Hafberg, M.D.
- Pediatric Gastroenterology Physician
- Nashville, TN
National Provider Identifier
1699080994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 55636
- Practice address
- 2200 Childrens Way # 10109
Nashville, TN 37232-0005 - Phone
- (615) 343-5323
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 55636 | TN | Primary |
| Pediatric Transplant Hepatology Physician | 2080T0004X | 55636 | TN |
Addresses
Primary practice location
2200 Childrens Way # 10109
Nashville, TN 37232-0005
Mailing address
2200 Children'S Way
Dot 10109
Nashville, TN 27232
Phone (615) 343-5323
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehafberg100902@direct.vumc.org | Direct |
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": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699080994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 CHILDREN'S WAY",
"address_2": "DOT 10109",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "27232",
"telephone_number": "615-343-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CHILDRENS WAY # 10109",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320005",
"telephone_number": "615-343-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFBERG",
"first_name": "EINAR",
"middle_name": "THOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2022-07-21",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TN",
"license": "55636",
"primary": true
},
{
"code": "2080T0004X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Transplant Hepatology",
"state": "TN",
"license": "55636",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehafberg100902@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "2200 Childrens Way # 10109",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.