DR. JOHN HALERZ II (NPI# 1114375532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114375532 |
| Entity Type | Individual |
| Full Name | DR. JOHN HALERZ II |
| Credential | M.D. |
| Practice Address |
404 W Fountain St Albert Lea MN 56007 |
| Mailing Address |
404 W Fountain St Albert Lea MN 56007-2437 |
| Practice Telephone | 5073732384 |
| Mailing Telephone | 5073732384 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 64747 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125.068603 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4140 Southwest Hwy, Hometown, IL 604561135 | 7084225700 | 7084228225 |
| Street Address |
404 W FOUNTAIN ST |
| City | ALBERT LEA |
| State | MN |
| Zip Code | 56007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078165 | Robert A. Mott | Emergency Medicine | 404 W Fountain St, Emergency Department, Albert Lea, MN 56007-2437 | 2005-10-26 |
| 1487267910 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2020-08-25 |
| 1033736624 | Megan Thompson | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2020-06-29 |
| 1154883346 | Shaina Rae Archer | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-04-05 |
| 1194282541 | Mariah Kelly | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-02-21 |
| 1477025443 | Kristin Charlene Ferris-thompson | Pharmacist | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-01-01 |
| 1932675352 | Melissa Johnson Bertelson | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007 | 2018-10-24 |
| 1629544598 | Krista Renee Steffl | Pharmacist | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-10-18 |
| 1174006563 | Christopher Ray Lee | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-09-11 |
| 1699261610 | Mary Ann Ellis | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
| 1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| 1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
| 1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
| 1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
| 1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| Find all providers in zip 56007 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1154883346 | Shaina Rae Archer | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-04-05 |
| 1922453133 | Seng Yue Joshua Foong | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2016-04-26 |
| 1083057970 | Andrea Vanessa Caraccioli | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2013-04-10 |
| 1700199049 | Maria Kathleen Shue | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2010-07-15 |
| 1720315906 | Aparna Jain | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2009-11-10 |
| 1366544884 | Steven John Schulz | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-09-04 |
| 1114907961 | Michael David Ulrich | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-18 |
| 1497735534 | Donald J.f. Kammerer | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-17 |
| 1063491256 | Edward Reece Shaman | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-16 |
| Find all providers in ALBERT LEA | ||||
| City | ALBERT LEA |
| Zip Code | 56007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.