Individual provider Active NPI

Norman David Hauk, PA-C

  • Physician Assistant
  • Yakima, WA
National Provider Identifier
1962447243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004706 Issued in WA
Practice address
110 S 9TH Ave
Yakima, WA 98902-3315
Phone
(805) 563-3011
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004706 WA Primary

Addresses

Primary practice location

110 S 9TH Ave
Yakima, WA 98902-3315

Mailing address

607 S 20TH Ave
Yakima, WA 98902-4225
Phone (509) 469-9666

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000869 WA Practitioner - Physician Assistant 7911950845 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summitview Urgent Care IncGroup PAC ID 7911316526, 8 clinicians

Practice addresses (Care Compare)

120 S 72ND Ave
Suite 102
Yakima, WA 98908-4200
Phone (509) 902-8856

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
66.6
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004706WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Assocation CurrentSince Jan 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2020 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Jun 1, 2022 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Jun 1, 2022 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Oct 1, 2025 Accepting new patients
Thuthi Enterprises, LLC CurrentSince Oct 1, 2020 Accepting new patients
Kittitas Valley Urgent Care PLLC CurrentSince Mar 1, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Dec 24, 2022 Accepting new patients
Sedro Woolley Emergency Physicians Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Physician Assistant Past Accepting new patients
Washington Em-I Medical Services PC Past Accepting new patients
Washington Em-I Medical Services PC Past Accepting new patients

Locations

702 E Mountain View Ave
#1
Ellensburg, WA 98926
Phone (509) 968-5273

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 426-2378

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

6101 Summitview Ave
Ste 200
Yakima, WA 98908
Phone (509) 902-8856

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962447243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S 20TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024225",
            "telephone_number": "509-469-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023315",
            "telephone_number": "805-563-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUK",
        "first_name": "NORMAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.