Miriam Habafy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01038 Issued in OR

Practice address

2050 Progress Way
Woodburn, OR 97071-9764

Phone

(503) 981-5348

Fax

(503) 981-0423

NPI assigned

Oct 24, 2006

Last updated

Sep 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miriam.habafy.p29@direct.wvp.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: miriam.habafy.1@21026.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multnomah County

  dba Multnomah County Health Dept, North Portland

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787
  Medicare reassignment
• Multnomah County

  dba Multnomah County Health Department,PH

  • State or Local Public Health Clinic/Center
  • Portland, OR
  • NPI 1275702201
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• Woodburn Pediatric Clinic

  • Primary Care Clinic/Center
  • Woodburn, OR
  • NPI 1154741916
  NPD (past)
• Woodburn Pediatric Clinic LLP

  • Pediatrics Physician
  • Woodburn, OR
  • NPI 1790969624
  NPD (past)
• Dallas County Hospital District

  dba CV Roman Women's Health Center

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188
  NPD (past)
• Vickery Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1831166446
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1831273457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PROGRESS WAY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719764",
            "telephone_number": "503-981-5348",
            "fax_number": "503-981-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PROGRESS WAY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719764",
            "telephone_number": "503-981-5348",
            "fax_number": "503-981-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAFY",
        "first_name": "MIRIAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Graham
• Catherine Grieve, LCSW
• Rosa M Grimaldo
• Dar'Ya Raisa Grozovskaya, NP
• Karina Guzman Ortiz, CSWA
• Candace Marilyn Hagenauer, LMT
• Kathryn Richelle Hale, CPNP-PC
• Carla Frances Halvorson
• Tamara J Hammack, MPH, LMT
• Tyler Benjamin Hammond, DPT

• Medical Physician Assistant in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.