MARK ISADORE HAINER (NPI# 1255314944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255314944 |
| Entity Type | Individual |
| Full Name | MARK ISADORE HAINER |
| Credential | D.O. |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-8561 |
| Mailing Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-0001 |
| Practice Telephone | 2539686520 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OP60194415 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DOS-843 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
OP60194415 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGENCE BLUESHIELD | 0940HA | 01 | |
| WA | 1255314944 | 05 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736901 | Jessica Kastl | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7212 | 2020-10-06 |
| 1255805651 | Trey Baker | Nurse Anesthetist, Certified Registered | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7324 | 2019-01-18 |
| 1063911949 | Katherine Naomi Mcleod | Registered Nurse | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2018-02-07 |
| 1861831620 | Michael David Stockin | Anesthesiology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5001 | 2013-06-14 |
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1942564943 | Stefan George Kazacos | Emergency Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0004 | 2012-06-25 |
| 1124392741 | Stacey Stevens Schmiedecke | Obstetrics & Gynecology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2012-02-29 |
| 1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
| 1427386119 | Clemintene Benjamin | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4066 | 2009-11-18 |
| 1841421575 | Christopher Bryant Brueckner | Optometrist | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982905923 | J. Randall Farrar, Md | Internal Medicine | 1155 Jadwin Ave, Richland, WA 99352-3434 | 2010-11-08 |
| 1679522106 | Inland Cardiology Associates, P.s. | Internal Medicine | 122 West 7th Avenue, Suite 450, Spokane, WA 99204-4332 | 2006-05-10 |
| 1871986455 | Sunnyside Community Hospital Association | Internal Medicine | 812 Miller Ave, Sunnyside, WA 98944-2374 | 2015-03-06 |
| 1568892586 | Shenjing Li | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2013-11-13 |
| 1023389061 | Henry Chu | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2012-01-23 |
| 1225311756 | Danny Dvir | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-09-21 |
| 1841510310 | Kenta Nakamura | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-08 |
| 1588989032 | Patrick John Goleski | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-03-27 |
| 1508196833 | Jacob Appel Doll | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-01-08 |
| 1811225923 | Gopal Ghimire | Internal Medicine | 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 | 2009-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.