Active NPI
Richard C. Havard, M.D.
- Plastic and Reconstructive Surgery Physician
- Corvallis, OR
National Provider Identifier
1699772277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD23577
- Practice address
- 996 NW Circle Blvd Ste 103
Corvallis, OR 97330-1485 - Phone
- (541) 768-4370
- NPI assigned
- Jun 28, 2005
- 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 |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MD23577 | AZ | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD23577 | OR | Primary |
Addresses
Primary practice location
996 NW Circle Blvd Ste 103
Corvallis, OR 97330-1485
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287015 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhavard7035@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19952 | AZ | MD | Counselor |
| MD23577 | AZ | MD | Surgery of the Hand (Plastic Surgery) Physician |
| MD23577 | OR | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Medical Foundation | Past | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients |
Interoperability endpoints
- rhavard7035@samhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1699772277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 NW CIRCLE BLVD STE 103",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301485",
"telephone_number": "541-768-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVARD",
"first_name": "RICHARD",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2020-11-11",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "AZ",
"license": "MD23577",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OR",
"license": "MD23577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287015",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhavard7035@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "996 NW Circle Blvd Ste 103",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973301485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.