TRAVIS JEFFREY HALLER (NPI# 1962027482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962027482 |
| Entity Type | Individual |
| Full Name | TRAVIS JEFFREY HALLER |
| Credential | MD |
| Practice Address |
200 1st St Sw Bldg 12th Rochester MN 55905-0002 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072843856 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
30900 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
200 1ST ST SW BLDG 12TH |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979140 | Kelly Staricha | Otolaryngology | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-29 |
| 1831727619 | Dante Joseph Merlino | Otolaryngology | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-29 |
| 1528696515 | Katherine Wallerius | Otolaryngology | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-27 |
| 1396372694 | Dontre' M Douse | Otolaryngology | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-25 |
| 1396163747 | Ashley Paige O'connell Ferster | Otolaryngology | 2365 S Clinton Ave Ste 200, Rochester, NY 14618-2663 | 2014-04-02 |
| 1831234269 | Michigan Ear Head & Neck Clinic PC | Otolaryngology | 811 Oakwood Dr, Suite 301, Rochester, MI 48307-1360 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457508319 | Laurence Edward Winter | Otolaryngology | 8100 Schendel Lake Dr, Loretto, MN 55357-9590 | 2008-08-22 |
| 1790770196 | Peter A Hilger | Otolaryngology | 7801 E Bush Lake Rd, Suite 320, Minneapolis, MN 55439-3120 | 2005-09-13 |
| 1932192457 | Benhoor Soumekh | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3753 | 2005-08-30 |
| 1841283843 | Stephen L Liston | Otolaryngology | 347 Smith Ave N, Ste 602, Saint Paul, MN 55102-2387 | 2005-08-24 |
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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.