DAVID CHESTER HALLER (NPI# 1538422159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422159 |
| Entity Type | Individual |
| Full Name | DAVID CHESTER HALLER |
| Credential | D.O. |
| Practice Address |
80 68th St Se Grand Rapids MI 49548 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163918242 |
| Practice Fax Number | 6163918317 |
| Mailing Telephone | 6163918242 |
| Mailing Fax Number | 6163918317 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20A16525 | CA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 5101020022 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1538422159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366578122 | David J Haller | Social Worker | 1000 Elmwood Ave, Rochester, NY 14620-3042 | 2007-02-26 |
| 1730256736 | David L. Haller | Family Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1548214463 | David L Haller | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2006-05-22 |
| Street Address |
80 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1033746565 | Samantha Nicole Lubbers | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-03-25 |
| 1912531054 | Christof Charles Muller | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-27 |
| 1477185718 | Austin James Redick | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-05 |
| 1770114266 | George Michael Mcconnell | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-03 |
| 1245861251 | Holly Elizabeth Mullen | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-01-29 |
| 1417596008 | Jennifer Nicole Lehman | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-12-30 |
| 1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
| 1396398236 | Marlee Jayne Bogema | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-07-19 |
| 1013472695 | Micah Nahum Foster | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063933745 | Sierra Debenham | Emergency Medicine | 100 Michigan Avenue, Grand Rapids, MI 49503 | 2017-07-03 |
| 1790216877 | Lauren Turco | Emergency Medicine | 100 Michigan St Ne # Mc049, Grand Rapids, MI 49503-2560 | 2017-03-21 |
| 1336592856 | Medexpress Urgent Care, PC - Michigan | Emergency Medicine | 3100 Plainfield Ave Ne, Grand Rapids, MI 49505-3261 | 2016-07-20 |
| 1083978142 | David Swenson | Emergency Medicine | 100 Michigan St Ne # Mc49, Grand Rapids, MI 49503-2560 | 2012-07-03 |
| 1144503152 | Trinh Le | Emergency Medicine | 6080 Kalamazoo Ave Se, Grand Rapids, MI 49508-7018 | 2011-09-26 |
| 1326336496 | Clint L Mckee | Emergency Medicine | 1000 Monroe Nw, Grmep, Grand Rapids, MI 49503 | 2011-07-11 |
| 1326363789 | David Beversluis | Emergency Medicine | 322 Aurora St Se, Grand Rapids, MI 49507-3124 | 2010-03-29 |
| 1669600078 | Casey Lane Crandell | Emergency Medicine | 1000 Monroe Nw, Mc-49, Grand Rapids, MI 49503 | 2009-06-24 |
| 1417119777 | Kara Beth Cardenas | Emergency Medicine | 100 Michigan St Ne # Mc-49, Grand Rapids, MI 49503-2560 | 2008-06-27 |
| 1740490200 | Michelle Lee Whitford | Emergency Medicine | 100 Michigan St Ne # Mc-71, Grand Rapids, MI 49503-2560 | 2007-05-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on DAVID CHESTER HALLER.
| 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.