NPIMap

Individual provider Active NPI

Maiyen Tran Hawkins, D.O.

  • Gastroenterology Physician
  • Everett, WA
National Provider Identifier
1841446655
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OP60366994 Issued in WA
Practice address
4225 Hoyt Ave
Suite a
Everett, WA 98203-2351
Phone
(425) 259-3122
Fax
(425) 252-9860
NPI assigned
Aug 12, 2008
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 134871 DC
Gastroenterology Physician 207RG0100X OP60366994 WA Primary

Addresses

Primary practice location

4225 Hoyt Ave
Suite a
Everett, WA 98203-2351

Mailing address

4225 Hoyt Ave
Suite a
Everett, WA 98203-2351
Phone (425) 259-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131125000818 WA Practitioner - Gastroenterology 6709012693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Medical Group Inc PSGroup PAC ID 7517870314, shared by 7 NPIs, 111 clinicians

Practice addresses (Care Compare)

4225 Hoyt Ave
Suite C
Everett, WA 98203-2351
Phone (425) 225-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
134871DCMDInternal Medicine Physician
OP60366994WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2013 Accepting new patients
Public Hospital District 1 of Snohomish County CurrentSince Feb 24, 2016 Accepting new patients
Western Washington Medical Group, Inc PS Gastroenterology Current Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2013 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2013 Accepting new patients
Public Hospital District No 1 of Snohomish County CurrentSince Feb 24, 2016 Accepting new patients

Locations

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

1728 W Marine View Dr
Ste 111
Everett, WA 98201

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

4225 Hoyt Ave
Ste C
Everett, WA 98203
Phone (425) 252-2313

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

Interoperability endpoints

  • Direct secure messaging: mhawkins727154@direct.multicare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1841446655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-259-3122",
            "fax_number": "425-252-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-259-3122",
            "fax_number": "425-252-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "MAIYEN",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "134871",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP60366994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.