Mark David Hafermann

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD00006018 Issued in WA

Practice address

1135 116TH Ave NE
Suite 160
Bellevue, WA 98004-4623

Phone

(425) 688-5289

NPI assigned

Oct 27, 2006

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 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730264532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 160",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-688-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERMANN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00006018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "2743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8265301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Hack, PT
• John P. Hackett, M.D.
• Chelsea Hadiwibowo Ho
• Raegan Hadley, OTD, OTR/L
• Josephine Hadlock-King, LICSW
• Marlena Esther Haffner Love, LICSW
• Haggen Inc. (Top 13)
• Francine Ellen Hagglund, AAC
• Nafiseh Sadat Haghgoo, DO
• Lorinda Lee Hagstrom, OTR

• Radiation Oncology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Radiation Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.