FREDERICK R HALLER (NPI# 1396797726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797726 |
| Entity Type | Individual |
| Full Name | FREDERICK R HALLER |
| Credential | M.D. |
| Practice Address |
740 Mckinley Ave Kellogg ID 83837-2523 |
| Practice Telephone | 2087831267 |
| Practice Fax Number | 2087864471 |
| Mailing Telephone | 2087831267 |
| Mailing Fax Number | 2087864471 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M3559 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE DMERC | 1185830001 | 01 |
| ID | 002790400 | 05 | |
| ID | RAILROAD MEDICARE | 080089993 | 01 |
| Street Address |
740 MCKINLEY AVE |
| City | KELLOGG |
| State | ID |
| Zip Code | 83837-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445574 | Lindsey A Hill | Community Health Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2020-07-23 |
| 1417414913 | Laboratory Corporation of America | Clinical Medical Laboratory | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2019-02-21 |
| 1972089605 | Kathleen Nansel | Rehabilitation Practitioner | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
| 1619453370 | Shannon Marie Nansel | Peer Specialist | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
| 1588158943 | Amanda Rae Olson | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2018-06-19 |
| 1811413750 | Carrie Jane Leeling | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-08-22 |
| 1679094940 | Casey Malia Vincent | Counselor | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-06-27 |
| 1114382553 | Foot and Ankle Clinic of Spokane Inc | Durable Medical Equipment & Medical Supplies | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-12-30 |
| 1144697814 | Karen Joy Currie | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-08-28 |
| 1750799938 | Sean A Meyer | Nurse Practitioner | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740632983 | Jessica Croston | Non-emergency Medical Transport (VAN) | 12 Slaughter House Gul, Wardner, Kellogg, ID 83837 | 2016-07-12 |
| 1568758720 | Daybreak Canyon LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1229 Country Club Rd., Kellogg, ID 83837 | 2011-06-24 |
| 1295034684 | Rusty M Wood | Physical Therapist | 704 Mckinley Avenue, Kellogg, ID 83837 | 2011-03-24 |
| 1295914760 | Silver Valley Emergency Physicians | Emergency Medicine | 3 Jacobs Gulch Road, Kellogg, ID 83837 | 2007-10-31 |
| 1629117429 | Community Ambulance Service Inc | Ambulance | 124 W Brown, Kellogg, ID 83837 | 2007-02-06 |
| 1396810255 | Steven Joseph Rinaldi | Dentist | 418 W Cameron Ave, Kellogg, ID 83837 | 2006-11-22 |
| 1760576193 | Kellogg Drugs LLC | Pharmacy | 131 West Cameron Ave, Kellogg, ID 83837 | 2006-10-02 |
| 1578654406 | Neil Orlew Norman | Dentist | 302 E Cameron Ave, Kellogg, ID 83837 | 2006-09-27 |
| 1285677278 | Loren Ken Zeitz | Anesthesiology | 25 Jacobs Gulch, Kellogg, ID 83837 | 2006-06-14 |
| 1962981951 | Joanne Elizabeth Swiatek | Occupational Therapist | 25 Jacobs Gulch Rd, Kellogg, ID 83837 | 2018-08-09 |
| Find all providers in zip 83837 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528260429 | Sue Castleman | Internal Medicine | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2007-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1306385950 | Basis Internal Medicine | Internal Medicine | 723 W Headwaters Dr, Eagle, ID 83616-5749 | 2017-02-15 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| 1649634718 | Elizabeth Ann Schackmann | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4501 | 2016-04-05 |
| 1003278730 | Tyler T Birch | Internal Medicine | 520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352 | 2016-03-22 |
| 1134513088 | Alex Tanabe | Internal Medicine | 1000 E Park Blvd, Boise, ID 83712-7791 | 2015-03-27 |
| 1932512811 | Cory Spicer | Internal Medicine | 2265 E Sunnyside Rd, Idaho Falls, ID 83404-7598 | 2014-06-09 |
| 1598196784 | Gabriela Anghel | Internal Medicine | 500 S 11th Ave Ste 303, Pocatello, ID 83201-4879 | 2013-12-12 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1386083764 | Avery Jeffers | Internal Medicine | 44 N. 1st E., Attn: Colleen Jensen, Preston, ID 83263-1326 | 2013-06-19 |
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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.