KEVIN L O'HALLORAN MD SC (NPI# 1164431367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164431367 |
| Entity Type | Organization |
| Organization Name | KEVIN L O'HALLORAN MD SC |
| Other Organization Name | ORTHOPEDIC CLINIC |
| Practice Address |
123 Hospital Dr Suite 1008 Watertown WI 53098-3331 |
| Practice Telephone | 9202610672 |
| Practice Fax Number | 9202610682 |
| Mailing Telephone | 9202610672 |
| Mailing Fax Number | 9202610682 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | KEVIN L O'HALLORAN (OWNER) |
| Authorized Official Telephone | 9202610672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34258 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31932100 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic Clinic | Other Name - Individual/Organization |
| Street Address |
123 HOSPITAL DR SUITE 1008 |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314070 | George Andrew Boush | Ophthalmology | 123 Hospital Dr, Suite 1002, Watertown, WI 53098-3331 | 2005-05-23 |
| 1144600511 | Jillian Stevens | Hearing Instrument Specialist | 123 Hospital Dr, Ste 112, Watertown, WI 53098-3331 | 2015-06-01 |
| 1487053005 | Casey Jo Brown | Nurse Practitioner | 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 | 2014-08-19 |
| 1710395058 | Promporn June Suwanabol | Physician Assistant | 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 | 2014-07-30 |
| 1912319575 | Connect Hearing, Inc. | Audiologist | 123 Hospital Dr, Ste 112, Watertown, WI 53098-3331 | 2014-05-29 |
| 1194072660 | Watertown Regional Medical Center, Inc | Otolaryngology | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 | 2012-08-14 |
| 1043586068 | Hearing Center, Inc. | Audiologist | 123 Hospital Dr, Ste 112, Watertown, WI 53098-3320 | 2012-03-23 |
| 1356627699 | Watertown Regional Medical Center, Inc | Family Medicine | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 | 2011-11-01 |
| 1043593916 | Watertown Regional Medical Center, Inc | Plastic Surgery | 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 | 2011-09-27 |
| 1013296391 | Watertown Regional Medical Center, Inc | Physician Assistant | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 | 2011-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265504831 | Northern New York Cerebral Palsy Assoc. | Orthopaedic Surgery | 714 Washington St, Watertown, NY 13601-4032 | 2006-11-15 |
| 1528043510 | Harry Z Papazian | Orthopaedic Surgery | 303 Mount Auburn St, Watertown, MA 02472-1956 | 2005-12-13 |
| 1679884779 | Natalie Nielsen | Orthopaedic Surgery | 1571 Washington St Ste 201, Watertown, NY 13601-9304 | 2010-06-24 |
| 1124348644 | Dr Casey D. Johnston Md PC | Orthopaedic Surgery | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2010-06-07 |
| 1659699023 | Watertown Regional Medical Center, Inc | Orthopaedic Surgery | 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3320 | 2010-05-11 |
| 1952514994 | Casey Johnston | Orthopaedic Surgery | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2007-05-07 |
| 1356449649 | Michael J Vener M D P C | Orthopaedic Surgery | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-09-20 |
| 1295833572 | Gerald M. Rieber Md PC | Orthopaedic Surgery | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-09-20 |
| 1053329771 | Paul S. Curtis, Md, PC | Orthopaedic Surgery | 19472 Us Route 11, Watertown, NY 13601-5387 | 2006-08-05 |
| 1821007022 | Kevin L O'halloran | Orthopaedic Surgery | 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 | 2006-08-05 |
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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.