DR. SPENCER LEE HALLER (NPI# 1679787535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679787535 |
| Entity Type | Individual |
| Full Name | DR. SPENCER LEE HALLER |
| Credential | M.D. |
| Practice Address |
70 Post Office Park Wilbraham MA 01095-1290 |
| Practice Telephone | 4135987770 |
| Practice Fax Number | 4135991399 |
| Mailing Telephone | 4135987770 |
| Mailing Fax Number | 4135991399 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 222039 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 222039 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110079183A | 05 |
| Street Address |
70 POST OFFICE PARK |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982611620 | Lisa A. Millett | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1290 | 2006-08-02 |
| 1659857498 | Jessica Sweeney | Physician Assistant | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2018-07-16 |
| 1568986719 | Celsea Colello | Physical Therapist | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2017-07-31 |
| 1982150025 | Wilbraham Dental Associates, LLC | Dentist | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2016-08-29 |
| 1508234931 | Lindsey Brunette | Occupational Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1290 | 2015-09-02 |
| 1841607041 | Jennifer Ann Lacasse | Nurse Practitioner | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2014-07-20 |
| 1609154111 | Jason M Luszcz | Physician Assistant | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2011-08-01 |
| 1811211303 | Caitlin Elizabeth Eckhoff | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1287 | 2010-03-26 |
| 1083949861 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1287 | 2009-10-12 |
| 1053559740 | Mwa, PC | Durable Medical Equipment & Medical Supplies | 70 Post Office Park, Wilbraham, MA 01095 | 2009-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| 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 |
|---|---|---|---|---|
| 1295974624 | Ann J Hritz | Internal Medicine | 19 Red Gap Rd, Wilbraham, MA 01095-2362 | 2009-02-09 |
| 1306060876 | Alonzo D Sheffield | Internal Medicine | 40 High Pine Cir, Wilbraham, MA 01095-1776 | 2007-04-13 |
| 1942336532 | Philip J Halon | Internal Medicine | 567 Ridge Rd, Wilbraham, MA 01095-2385 | 2007-02-26 |
| 1659340461 | James Michael Leone | Internal Medicine | 2377 Boston Rd, Wilbraham, MA 01095 | 2006-03-15 |
| 1881668630 | Molly H Noonan | Internal Medicine | 481 Main St, Wilbraham, MA 01095-1662 | 2006-02-16 |
| 1396918447 | Sarah A Freedman | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2008-04-09 |
| 1871711192 | Brian Banker | Internal Medicine | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2007-04-23 |
| 1982758058 | Barbara M Sullivan | Internal Medicine | 481 Main St, Wilbraham, MA 01095-1662 | 2007-01-23 |
| 1659382281 | Craig E Kannel | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2006-08-10 |
| 1568473197 | John F Peluso | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2006-08-10 |
| Find all providers in WILBRAHAM | ||||
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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.