Basic Information
| Provider Information | |||||||||
| NPI: | 1154396356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HADFIELD | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | H. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1115 BOULDERS PKWY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232254067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045605595 | ||||||||
| FaxNumber: | 8045609029 | ||||||||
| Practice Location | |||||||||
| Address1: | 13700 ST FRANCIS BLVD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | MIDLOTHIAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231143222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043792414 | ||||||||
| FaxNumber: | 8043792413 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2006 | ||||||||
| LastUpdateDate: | 01/29/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0114X | 0101231725 | VA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 207X00000X | 0101231725 | VA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 201067 | 01 | VA | ANTHEM OPERATORY | OTHER | 540885859 | 01 | VA | CIGNA | OTHER | 540885859 | 01 | VA | FOCUS | OTHER | 7239331 | 01 | VA | AETNA | OTHER | 198227 | 01 | VA | ANTHEM HEALTH KEEPERS | OTHER | 540885859 | 01 | VA | COMPMANAGEMENT | OTHER | 540885859 | 01 | VA | PHCS | OTHER | 540885859 | 01 | VA | UNITED HEALTHCARE | OTHER | 540885859 | 01 | VA | FIRST HEALTH/CCN | OTHER | 1154396356 | 05 | VA | MEDICAID | 1334456 | 01 | VA | AETNA/US HMO | OTHER | 540885859 | 01 | VA | VA. HEALTH NETWORK | OTHER | 010277566 | 05 | VA | MEDICAID |