Maury Daniel Hafermann, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00037297 Issued in WA

Practice address

817 Commercial St
Leavenworth, WA 98826-1316

Phone

(509) 548-3420

Fax

(509) 548-1605

NPI assigned

Jul 7, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1730186420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-3420",
            "fax_number": "509-548-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-3420",
            "fax_number": "509-548-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERMANN",
        "first_name": "MAURY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8245631",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Edward Fenlason, PSY.D.
• Joshua R. Frank, MD
• Roselynn A. Gentles, MD
• Linda Gail Greiner, PA-C
• Tawna L Groves, LMP
• Shannon Flynn Toalson Hafermann, PT
• Linda L. Hartman, DIETITIAN
• Marilyn Jane Hedges, ARNP
• Marvin L. Hinz, MSW, LICSW
• Gayle Bean Holeton

• Family Medicine Physician in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.