Douglas S Hale, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P427 Issued in WA

Practice address

600 Broadway Ste 220
Seattle, WA 98122-5373

Phone

(206) 344-3808

Fax

(206) 860-0907

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Williamette University Medical Department, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PNC Podiatry of Washington PLLCGroup PAC ID 3971950312, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.hale.1@28424.direct.athenahealth.com
• Direct secure messaging: douglas.hale.1@6078.direct.athenahealth.com

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.

• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
  • NPI 1154106516
  Medicare reassignment Care Compare group NPD
• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
  • NPI 1659249126
  NPD

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1790885358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225395",
            "telephone_number": "206-344-3808",
            "fax_number": "206-860-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225373",
            "telephone_number": "206-344-3808",
            "fax_number": "206-860-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480012743",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069566",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Halbeisen, PT
• Douglas C. Haldeman, PH.D.
• Susan Kristi Haldeman
• Elise Lenore Hale-Case, LMHC, CDPT
• Alyssa Hale
• Geneva Louise Hale, PTA
• Susan Lynne Hale, ARNP
• Zach Hale, BA
• Kimberly Haley, CPC
• Rebecca Haley, M.D.

• Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.