Provider Demographics
NPI:1154396356
Name:HADFIELD, MARK H (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:H
Last Name:HADFIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:13700 ST FRANCIS BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3222
Practice Address - Country:US
Practice Address - Phone:804-379-2414
Practice Address - Fax:804-379-2413
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2013-01-29
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Provider Licenses
StateLicense IDTaxonomies
VA0101231725207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA201067OtherANTHEM OPERATORY
VA540885859OtherCIGNA
VA540885859OtherFOCUS
VA7239331OtherAETNA
VA198227OtherANTHEM HEALTH KEEPERS
VA540885859OtherCOMPMANAGEMENT
VA540885859OtherPHCS
VA540885859OtherUNITED HEALTHCARE
VA540885859OtherFIRST HEALTH/CCN
VA1154396356Medicaid
VA1334456OtherAETNA/US HMO
VA540885859OtherVA. HEALTH NETWORK
VA010277566Medicaid
VAH57582Medicare UPIN
VA1154396356Medicaid
VA0472640015Medicare NSC