Active NPI
David Haffner, MD
- Emergency Medicine Physician
- Albany, OR
National Provider Identifier
1851354336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD08625
- Practice address
- 1046 W 6TH Ave
Albany, OR 97321 - Phone
- (503) 926-2244
- NPI assigned
- Apr 7, 2006
- Last updated
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD08625 | OR | Primary |
Addresses
Primary practice location
1046 W 6TH Ave
Albany, OR 97321
Mailing address
PO Box 2065
Seattle, WA 98111-2065
Phone (888) 633-0083
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85787 | Medicaid | OR | |
| D86756 | Other | PROVIDENCE HEALTH PLAN | |
| JT3991 | Other | PACC | |
| D86756 | Other | GROUP HEALTH | |
| P00315622 | Other | RAILROAD MEDICARE | |
| XPY185285 | Other | MEDI CAL | |
| 81204 | Other | WASHINGTON L&I |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08625 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates of McMinnville | Emergency Medicine | Past | Accepting new patients |
| Albany Emergency Physicians Services, PC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Albany, OR
- NPI 1902869472
-
- Emergency Medicine Physician
- McMinnville, OR
- NPI 1629022876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1851354336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2065",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981112065",
"telephone_number": "888-633-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 W 6TH AVE",
"city": "ALBANY",
"state": "OR",
"postal_code": "97321",
"telephone_number": "503-926-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFNER",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD08625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85787",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLAN",
"identifier": "D86756",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACC",
"identifier": "JT3991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "D86756",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00315622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "XPY185285",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON L&I",
"identifier": "81204",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.