Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mary Hafer, MD

Specialist in Meridian, ID · enumerated 2011 · authorized official Michele Loucao, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154610731

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Registry record

Entity type Organization (Type 2)

Legal business name Mary Hafer, MD

Practice address 2971 E Copper Point Dr, Suite # 125, Meridian, ID, 83642

Phone (208) 893-5383

Fax (208) 893-5386

Enumeration date Apr 4, 2011

Last updated in NPPES Apr 4, 2011

Taxonomy & classification

174400000X Specialist Other Service Providers · License M-7753 (ID) Primary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-895 (ID) Secondary

Authorized official

Name Michele Loucao

Title Office Manager

Phone (208) 893-5383

Other identifiers

Identifier	Type	State	Issuer
M-7753	Other	ID	IDAHO STATE MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-04. Verify at npiregistry.cms.hhs.gov.

Where is Mary Hafer, MD located?

The practice location on file with NPPES is in Meridian, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-04.