NPI age
15 years
Enumerated 2011-04-04
● Active Type 2 · Organization
Mary Hafer, MD
Mary Hafer, MD is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Loucao
Office Manager
Last NPPES update
2011-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2971 E Copper Point Dr, Suite # 125
Meridian, ID 836425101
Mailing address
2971 E Copper Point Dr, Suite # 125
Meridian, ID 836425101
Authorized official
Michele Janee Loucao
Office Manager
📞 2088935383
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Wendy Coffman, LCSW Social Worker NPI 1568539971
- Michele Conant, LPC Counselor NPI 1487991865
- Mary Hafer, MD Obstetrics & Gynecology NPI 1861449084
- Hailey Harris, LPC Counselor NPI 1043880289
- Lori Lodge, LCPC LMFT Counselor NPI 1508008871
- Michelle Sichak, MA, LPC Counselor NPI 1417598236
- Philip Stoffle, MS, LPC Counselor NPI 1588908313
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | M-7753 | IDAHO STATE MEDICAL LICENSE |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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