PAUL WILLIAM HALCZENKO


Address: 2001 W 86th St, Indianapolis, IN 46260-1902
Phone: 3173388861

PAUL WILLIAM HALCZENKO (NPI# 1194954420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194954420
Entity Type Individual
Full Name PAUL WILLIAM HALCZENKO
Credential MD
Practice Address 2001 W 86th St
Indianapolis
IN 46260-1902
Mailing Address 10330 N Meridian St # 300
Indianapolis
IN 46290-1024
Practice Telephone 3173388861
Enumeration Date 2009-07-08
Last Update Date 2017-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
01071583A IN Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
426479 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 001393000 05
FL MEDICARE PTAN CH862Z 01

Office Location

Street Address 2001 W 86TH ST
City INDIANAPOLIS
State IN
Zip Code 46260-1902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021829 Bassem I Razzouk Pediatrics 2001 W 86th St, Indianapolis, IN 46260-1902 2005-05-27
1881209294 Jennifer L Maupin Nurse Practitioner 2001 W 86th St, Indianapolis, IN 46260-1902 2020-09-11
1851904973 Taylor Anne Vandervort Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-28
1437762796 Casey Michelle O'neal Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-26
1396360590 Kathleen Sue Lilegdon Dietitian, Registered 2001 W 86th St, Indianapolis, IN 46260-1902 2020-06-12
1033732979 Rachel Leigh Thelen Physician Assistant 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-27
1942823976 Shelby Nichole Preston Dietitian, Registered 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-26
1396367165 Gabrielle Ann Vickery Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-14
1154950798 Kaylee Elizabeth Poole Pharmacist 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-06
1326677014 Julie Mary Bittar Student in an Organized Health Care Education/Training Program 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
Find all providers in zip 46260

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619219995 Casey Kathleen Mccluskey Pediatrics 705 Riley Hospital Dr Rm 5867, Pediatric Residency Program Indiana University Som, Indianapolis, IN 46202-5109 2013-03-25
1396001194 Michelle M Gombas Pediatrics 2001 W 86th St, Indianapolis, IN 46260-1902 2012-04-05
1922213057 Jiuann-huey Ivy Lin Pediatrics 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 2007-05-11
1053416784 David F Westenkirchner Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2006-09-14
1871602995 Howard Eigen Pediatrics 705 Riley Hospital Dr, Ri 2117, Indianapolis, IN 46202-5109 2006-08-30
1851342208 Jeffrey C Benson Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2006-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225169196 Pediatric Pulmonary & Critical Care, PC Pediatrics 7910 West Jefferson Blvd., Ste 205, Fort Wayne, IN 46804-4159 2007-03-09
1023198926 Pediatric Specialty Physicians, PC Pediatrics 7429 Inverness Commons, Fort Wayne, IN 46804-3837 2006-10-16
1336161868 Chandrashekhar Yalamanchali Pediatrics 11123 Parkview Plaza Dr Ste 202, Fort Wayne, IN 46845-1707 2006-07-24
1467408237 Beacon Medical Group, Inc. Pediatrics 615 N Michigan St Fl 5, South Bend, IN 46601 2006-05-25
1962496661 Susanna R Burkhead Pediatrics 3700 Washington Avenue, Evansville, IN 47750-0001 2005-09-08
1184012130 Hari Rasad Gourabathini Pediatrics 615 N Michigan St Fl 5, South Bend, IN 46601-1033 2014-12-29
1972892958 Patrick J Noonan Pediatrics 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 2011-03-30
1922193184 Reuben Cohen Pediatrics 600 Mary St, Evansville, IN 47747-0001 2006-10-04
1427087188 Taveepong Terayanont Pediatrics 3700 Washington Ave, Evansville, IN 47714-0541 2006-07-02
1063419166 Daniel Abraha Pediatrics 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4140 2005-07-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City INDIANAPOLIS
Zip Code 46260

Improve Information

Please comment or provide details below to improve the information on PAUL WILLIAM HALCZENKO.

Dataset Information

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.

Trending Searches