Thomas K Hafford (NPI# 1912008913, PAC ID# 2062459209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1912008913 |
| PAC ID by PECOS | 2062459209 |
| Professional Enrollment ID | I20050411000139 |
| Full Name | Thomas K Hafford |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Address |
4112 Harbour Pointe Blvd Sw Suite 100 Mukilteo WA 98275-5457 |
| Phone Number | 4253476330 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8325100480 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| 500026 | SWEDISH EDMONDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 4253476330 | PROVIDENCE HEALTH AND SERVICES-WA |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Physicians | 421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasneem Abbas Shikary | Otolaryngology | Providence Health and Services-wa | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 |
| Nicole Kraker | Nurse Practitioner | Providence Health and Services-wa | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 |
| Crystal L Blankinship | Clinical Social Worker | Providence Health and Services-wa | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1751 |
| Lorena Barajas | Nurse Practitioner | Providence Health and Services-wa | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 |
| Kim Quy V Nguyen | Nurse Practitioner | Providence Health and Services-wa | 19200 N Kelsey St, Monroe, WA 98272-1431 |
| Marianna Baghdasaryan | Nurse Practitioner | Providence Health and Services-wa | 13110 Bothell Everett Hwy, Everett, WA 98208-7202 |
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| David Keisho Su | Neurosurgery | Providence Health and Services-wa | 1717 13th St, Suite 401, Everett, WA 98201-1621 |
| David B Shanholtzer | Nurse Practitioner | Providence Health and Services-wa | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 |
| Laura Knapp Knapp | Clinical Social Worker | Providence Health and Services-wa | 1509 California St, Everett, WA 98201-3540 |
| Street Address |
4112 HARBOUR POINTE BLVD SW SUITE 100 |
| City | MUKILTEO |
| State | WA |
| Zip | 98275-5457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taelin Lanier | Registered Dietitian Or Nutrition Professional | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | |
| Julie Ann Hornsby | Nurse Practitioner | Providence Health and Services-wa | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 |
| Rajasri D Palepu | Internal Medicine | Providence Health and Services-wa | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 |
| Katherine D Bumstead | Family Medicine | Providence Health and Services-wa | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 |
| Rolana O Mesias | Nurse Practitioner | Providence Health and Services-wa | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Krueger | Otolaryngology | 828 2nd St, Suite C, Mukilteo, WA 98275-1601 | |
| Timothy J Neher | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 728 Rice Dr, Mukilteo, WA 98275-2248 |
| Robert S Kreutz Jr. | Chiropractic | Mukilteo Chiropractic Clinic, Pllc | 8004 Mukilteo Speedway, Suite 1, Mukilteo, WA 98275-2653 |
| Brad C Geisler | Chiropractic | 8227 44th Ave W, Suite C, Mukilteo, WA 98275-2848 | |
| Vince N Montes | Endocrinology | 8423 Mukilteo Speedway, Suite 102, Mukilteo, WA 98275-3237 | |
| Katie Uberti | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Christopher J Bibby | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Josannie D Concepcion | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Ji-young Kim | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| John M Beard | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Find all physicians in zip 98275 | |||
| City | MUKILTEO |
| Zip Code | 98275 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MUKILTEO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Thomas K Hafford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.