Active NPI
Christopher W Hauge, M.D.
- Plastic and Reconstructive Surgery Physician
- Yakima, WA
National Provider Identifier
1790792265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD00013415
- Practice address
- 3907 Creekside Loop
Suite 130
Yakima, WA 98902-4879 - Phone
- (509) 225-4555
- Fax
- (509) 225-4554
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD00013415 | WA | Primary |
Addresses
Primary practice location
3907 Creekside Loop
Suite 130
Yakima, WA 98902-4879
Mailing address
3907 Creekside Loop
Suite 130
Yakima, WA 98902-4879
Phone (509) 225-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108943 | Medicaid | WA |
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": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1790792265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 CREEKSIDE LOOP",
"address_2": "SUITE 130",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024879",
"telephone_number": "509-225-4555",
"fax_number": "509-225-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 CREEKSIDE LOOP",
"address_2": "SUITE 130",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024879",
"telephone_number": "509-225-4555",
"fax_number": "509-225-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGE",
"first_name": "CHRISTOPHER",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD00013415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1108943",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.