Douglas W Halliday (NPI# 1255343984, PAC ID# 4082676119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1255343984 |
| PAC ID by PECOS | 4082676119 |
| Professional Enrollment ID | I20090619000149 |
| Full Name | Douglas W Halliday |
| Address |
7 Fennell St Skaneateles NY 13152-1196 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1979 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, DERMATOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330011 | LOURDES HOSPITAL |
| 330203 | CROUSE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7 Fennell St, Skaneateles, NY 13152-1196 |
| Street Address |
7 FENNELL ST |
| City | SKANEATELES |
| State | NY |
| Zip | 13152-1196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirby Janke | Chiropractic | 7 Fennell St, Skaneateles, NY 13152-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda R Rossi | Clinical Nurse Specialist | 1551 E Genesee St, Skaneateles, NY 13152 | |
| Mary E Collins | Clinical Social Worker | 29 Fennell St, Skaneateles, NY 13152-1117 | |
| Edward L Wadie | Podiatry | Westside Podiatry Center LLP | 27 Fennell St, Suite 2, Skaneateles, NY 13152-1158 |
| Daniel T Smith | Podiatry | Westside Podiatry Center LLP | 27 Fennell St, Suite 2, Skaneateles, NY 13152-1158 |
| David F Petters | Chiropractic | 1342 New Seneca Turnpike, Skaneateles, NY 13152-8802 | |
| Casimir K Bobowski | Optometry | 1342 New Seneca Turnpike, Skaneateles, NY 13152-8802 | |
| Christopher A Stahl | Chiropractic | 1416 Us Route 20, Skaneateles, NY 13152-8855 | |
| David P Locastro | General Surgery | 764 W Genesee St Rd, Skaneateles, NY 13152-9311 | |
| Shelly G Kraetz | Physical Therapy | 810 W Genesee St Rd, Skaneateles, NY 13152-9311 | |
| Sandra J Skiff | Physical Therapy | 657 W Genesee St Rd, Skaneateles, NY 13152-9363 | |
| Find all physicians in zip 13152 | |||
| City | SKANEATELES |
| Zip Code | 13152 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SKANEATELES + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Douglas W Halliday.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.