Mark A Halvorson (NPI# 1063852911, PAC ID# 8426364746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063852911 |
| PAC ID by PECOS | 8426364746 |
| Professional Enrollment ID | I20190829004412 |
| Full Name | Mark A Halvorson |
| Organization Legal Name | KADLEC REGIONAL MEDICAL CENTER |
| Address |
560 Gage Blvd Suite 101and206 Richland WA 99352-8650 |
| Phone Number | 5099423286 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739098617 |
| Number of Group Practice Members | 312 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500058 | KADLEC REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 | 5099423286 | KADLEC REGIONAL MEDICAL CENTER |
| Organization Legal Name | KADLEC REGIONAL MEDICAL CENTER |
| Physicians | 304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Fernando Frugone Larrea | Geriatric Medicine | Kadlec Regional Medical Center | 911 S Washington St, Kennewick, WA 99336-5600 |
| Amber Elexis Marsh | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite E, Richland, WA 99352-3301 |
| Paul A Shoemaker | Nurse Practitioner | Kadlec Regional Medical Center | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 |
| Mary E Swihart | Nurse Practitioner | Kadlec Regional Medical Center | 3900 S Zintel Way, Kennewick, WA 99337-5092 |
| Patrick Michael Aquilina | Cardiac Electrophysiology | Kadlec Regional Medical Center | 940 Northgate Dr, Richland, WA 99352-3505 |
| Alecia C Sturgill | Physician Assistant | Kadlec Regional Medical Center | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337-2484 |
| Robert Semon | Occupational Therapy | Kadlec Regional Medical Center | 875 Swift Blvd, Suite A, Richland, WA 99352-3592 |
| Romana Shehzadi | Gastroenterology | Kadlec Regional Medical Center | 900 Stevens Dr, Suite 101, Richland, WA 99352-3536 |
| Lisa M Garcia | Certified Nurse Midwife (cnm) | Kadlec Regional Medical Center | 945 Goethals Dr, Richland, WA 99352-3552 |
| Anjali S Kumar | General Surgery | Kadlec Regional Medical Center | 780 Swift Blvd, Suite 101, Richland, WA 99352-3545 |
| Street Address |
560 GAGE BLVD SUITE 101AND206 |
| City | RICHLAND |
| State | WA |
| Zip | 99352-8650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita Sikhrakar | Nurse Practitioner | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 102, Richland, WA 99352-9531 |
| Charles E Batayola | Family Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| Julie A Holgado | Nurse Practitioner | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 102, Richland, WA 99352-9531 |
| Kyawt K Ayee | Geriatric Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 102, Richland, WA 99352-9531 |
| Delia Takagi | Geriatric Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 102, Richland, WA 99352-9531 |
| Thaina Cynthia Moravia | Nurse Practitioner | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 102, Richland, WA 99352-9531 |
| Byron L Burrup | Family Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| Anna Elizabeth Bixler | Nurse Practitioner | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| William David Kalichman | Internal Medicine | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| Julie A Cook | Nurse Practitioner | Kadlec Regional Medical Center | 560 Gage Blvd, Suite 101and206, Richland, WA 99352-8650 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Elexis Marsh | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite E, Richland, WA 99352-3301 |
| Katherine A Miller | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite F, Richland, WA 99352-3301 |
| Luay D Ailabouni | Colorectal Surgery (proctology) | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite D, Richland, WA 99352-3301 |
| Alexis M. Firman | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite B, Richland, WA 99352-3301 |
| Joseph J Austin | Undefined Physician Type (specify) | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite E, Richland, WA 99352-3301 |
| Abdelazim Osman Hashim | Cardiovascular Disease (cardiology) | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite F, Richland, WA 99352-3301 |
| Nicholas Kyle Manke | Physician Assistant | Kadlec Regional Medical Center | 1100 Goethals Dr, Richland, WA 99352-3301 |
| Lora Caitlin Bird | Nurse Practitioner | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite F, Richland, WA 99352-3301 |
| Jonathan Reza Salahshour | Physical Medicine and Rehabilitation | Kadlec Regional Medical Center | 1100 Goethals Dr, Richland, WA 99352-3301 |
| Sherry Lee Cavanagh | Vascular Surgery | Kadlec Regional Medical Center | 1100 Goethals Dr, Suite E, Richland, WA 99352-3301 |
| Find all physicians in zip 99352 | |||
| City | RICHLAND |
| Zip Code | 99352 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RICHLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark A Halvorson.
| 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.