DR. SUSAN MOORE HAEFNER MD
NPI 1912948530
Pediatrics - Pediatric Critical Care Medicine in Flagstaff, AZ

Q: What is Susan Haefner's NPI number?

The NPI number for Susan Haefner is 1912948530. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Susan Haefner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Susan Haefner was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2006

1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-2120(928) 213-2189 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2015, Nov 16, 2015 (2 updates tracked since 2015).

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About Dr. Susan Moore Haefner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN MOORE HAEFNER MD (NPI 1912948530) is an individual pediatric critical care medicine provider in Flagstaff, Arizona, licensed in Arizona (27097) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912948530

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. SUSAN MOORE HAEFNERCredential: MD

Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118

Mailing Address1200 N Beaver St, Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 773-2559 · Fax (928) 213-6292

Phone(928) 773-2120

Fax(928) 213-2189

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateDecember 18, 20152 updates tracked since enumeration

✔ NPI 1912948530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in AZ · 27097✔ Licensed in TX · L4961

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1200 N BEAVER ST, Flagstaff, AZ 86001

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Other Identifiers 4

Medicare UPINH65420

Medicaid152394601TX

Medicaid705347AZ

Medicare PINZ90274AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY NIELSEN M.D.

Anesthesiology

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

DR. SEAN DANIEL WOODS M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2112

ELIZABETH GILMORE CRNA

Nurse Anesthetist, Certified Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

TANYA LEE MORGAN TWEED RDN

Dietitian, Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2441

THOMAS MATTHEW REEVE MD

Emergency Medicine

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (210) 464-7442

MS. SUSAN POMEROY BASSETT M.S.

Audiologist

1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3728

DR. ALI I RAJA MD, MSC

Neurological Surgery

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

LEAH MARIE COFFMAN PAUL CRNA

Nurse Anesthetist, Certified Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Haefner's NPI number?

The NPI number for Susan Haefner is 1912948530. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Susan Haefner located?

Susan Haefner practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-2120.

What is Susan Haefner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

What insurance does Susan Haefner accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Susan Haefner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Haefner was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.