LINDA SHAW HALLER (NPI# 1174752422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174752422 |
| Entity Type | Individual |
| Full Name | LINDA SHAW HALLER |
| Credential | PA-C, MPH |
| Practice Address |
4201 Excelsior Blvd St Louis Park MN 55416-4728 |
| Practice Telephone | 9525643880 |
| Practice Fax Number | 9529459536 |
| Mailing Telephone | 9525643880 |
| Mailing Fax Number | 9529459536 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9712 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629375 | Linda Elise Haller | Family Medicine | 250 Pleasant St, Concord Hospital, Concord, NH 03301 | 2017-06-27 |
| 1194971259 | Linda Jean Haller | Specialist/Technologist | 900 Illinois Avenue, Stevens Point, WI 54481-3114 | 2008-08-08 |
| 1487621363 | Linda L Haller | Registered Nurse | 180 Fort Couch Road, Suite 304, Pittsburgh, PA 15241-1041 | 2006-03-01 |
| 1629060017 | Linda J Haller | Obstetrics & Gynecology | 250 Pleasant St, Concord, NH 03301-7539 | 2005-08-22 |
| Street Address |
4201 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
| 1538766324 | Sarah A Frid | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-10-05 |
| 1427689637 | Greta Hazer | Acupuncturist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-01-28 |
| 1902300783 | Elena Fosness | Marriage & Family Therapist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2018-03-19 |
| 1588177109 | Boris Davydov | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2017-11-06 |
| 1255842373 | Taryn Lynne Stittleburg-devine | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2017-10-16 |
| 1003298308 | Rachel Anderson | Nurse Practitioner | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2015-06-23 |
| 1124124045 | Jill Marie Adams | Psychologist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1245862846 | Caara Hirsch Leintz | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-02-11 |
| 1073091039 | Casey Lynne Malenstyn | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2018-08-01 |
| 1669984274 | Auguste C Wolle | Physician Assistant | 6600 Excelsior Blvd, St Louis Park, MN 55426 | 2017-11-05 |
| 1437670866 | Becky Philipsek | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-07-06 |
| 1144692765 | Chelsea Finger | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2015-10-22 |
| 1255739942 | Samantha Elizabeth Eklund | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-12-11 |
| 1477990166 | Emily Spangler | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2013-06-04 |
| 1730311887 | Erik L. Haltson | Physician Assistant | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416-1521 | 2009-08-21 |
| 1437392040 | Kelly Jean Perrault | Physician Assistant | 6500 Excelsior Blvd, Heart and Vascular Center, 1st Floor, St Louis Park, MN 55426-4702 | 2009-04-13 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on LINDA SHAW HALLER.
| 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.