Mary K Halloran (NPI# 1396989059, PAC ID# 8921259557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396989059 |
| PAC ID by PECOS | 8921259557 |
| Professional Enrollment ID | I20121108000109 |
| Full Name | Mary K Halloran |
| Organization Legal Name | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Address |
75 Park St Elizabethtown NY 12932-2300 |
| Phone Number | 5186736377 |
| Gender | F |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577554138 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331302 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 75 Park St, Elizabethtown, NY 12932-2300 | 5186736377 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Organization Legal Name | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Desmarais | Family Medicine | Elizabethtown Community Hospital | 66 Park St, Elizabethtown, NY 12932-2303 |
| Rob L Demuro | Internal Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Pasqualino Caputo | Family Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Harry A Davis | Emergency Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Street Address |
75 PARK ST |
| City | ELIZABETHTOWN |
| State | NY |
| Zip | 12932-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donielle F Sliwa | Hematology/oncology | Lake Champlain Physician Services | 75 Park St, Elizabethtown, NY 12932-2300 |
| Bartlomiej Wojciech Szczech | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| William Anthony Pace | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 75 Park St, Elizabethtown, NY 12932-2300 |
| Tracey A Viola | Family Medicine | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Rob L Demuro | Internal Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Pasqualino Caputo | Family Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Andrew M Friebel | Physician Assistant | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Eugene Byrne | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| William J Smith | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Harry A Davis | Emergency Medicine | Elizabethtown Community Hospital | 75 Park St, Elizabethtown, NY 12932-2300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis Perna | Psychologist, Clinical | 107 Hand Ave, Elizabethtown, NY 12932 | |
| Wilbur K Cuddy | Nurse Practitioner | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Annie G Mckinley | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Robert M Mcgoldrick | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Erin L Velsini | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Lorna L Jewell | Nurse Practitioner | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Molly T Jacobson | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Joan Mccoy Lilly | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Jessica E. Roeder | Clinical Social Worker | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Zev J Alexander | Psychiatry | Essex County Treasurer | 7513 Court St, Elizabethtown, NY 12932-0008 |
| Find all physicians in zip 12932 | |||
| City | ELIZABETHTOWN |
| Zip Code | 12932 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELIZABETHTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary K Halloran.
| 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.