Tung Mai Ha, DO

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

9405501 Issued in KS

Practice address

710 Birchwood Ave
Ste 101
Bellingham, WA 98225-1720

Phone

(360) 676-0922

Fax

(360) 671-4726

NPI assigned

Apr 12, 2007

Last updated

Dec 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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 WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Ohio State University College of Homeopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fourth Corner Neurosurgical Associates Inc PSGroup PAC ID 1557250248, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmha@fcnsa.direct.emds.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.

• Fourth Corner Neurosurgical Associates Inc PS

  dba Cascade Outpatient Spine Center

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1275938102
  Medicare reassignment NPD Authorized official
• Fourth Corner Neurosurgical Associates Inc PS

  dba Cascade Outpatient Spine Center

  • Neurological Surgery Physician
  • Bellingham, WA
  • NPI 1699846386
  Medicare reassignment NPD

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

• Peacehealth

  dba St. Joseph Medical Center

  • Rural Acute Care Hospital
  • Bellingham, WA
  • NPI 1487904546
  Care Compare affiliation
• Peacehealth

  dba St Joseph Medical Center

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320
  Care Compare affiliation
• St Joseph Hospital

  dba Northwest Regional Laboratory

  • Clinical Medical Laboratory
  • Bellingham, WA
  • NPI 1013137173

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1902020738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "TUNG",
        "middle_name": "MAI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "9405501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gutierrez, MSW, LICSW
• Susan Guttzeit, LMP
• Diana Guza-Wells, M.D.
• Jesse Guzman, DDS
• Catherine Gwaltney, DC
• Kayla Anne Elaun Hackman
• Janet Marina Hadfield, LPN
• Laura Lee Hadwiger, R.PH.
• Paul R Haeder, MD
• David Hafner, MD

• Neurological Surgery Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.