ADAM LEE HALVERSON (NPI# 1922340967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922340967 |
| Entity Type | Individual |
| Full Name | ADAM LEE HALVERSON |
| Practice Address |
350 W Wilson Bridge Rd Ste 200 Worthington OH 43085 |
| Mailing Address |
350 W Wilson Bridge Rd Ste 200 Worthington OH 43085-2217 |
| Practice Telephone | 6148958747 |
| Mailing Telephone | 6148958747 |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
34.012228 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Polaris Pkwy Ste 2000, Westerville, OH 43082 | 6148958747 | 6148953246 |
| 5100 W Broad St, Columbus, OH 432281607 | 6145441000 | 6145441751 |
| Street Address |
350 W WILSON BRIDGE RD STE 200 |
| City | WORTHINGTON |
| State | OH |
| Zip Code | 43085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443772 | Lynette Renae Mehl | Podiatrist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2591 | 2005-08-09 |
| 1780299727 | Alexander P Good | Physical Therapist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2591 | 2020-09-15 |
| 1902424708 | Shannon Dunn | Physical Therapist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2591 | 2020-07-08 |
| 1346792280 | Ohio Foot and Ankle Inc | Non-Pharmacy Dispensing Site | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2016-10-26 |
| 1588017339 | Kyra Marie Mesa Martinez | Physical Therapist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2016-07-18 |
| 1396108759 | Bryon Mckenna | Podiatrist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2591 | 2016-04-03 |
| 1083071609 | Austin James Arnett | Physician Assistant | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2016-01-27 |
| 1689056822 | Travis M Langan | Podiatrist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2015-06-24 |
| 1932441268 | David Albert Goss Jr. | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2013-03-25 |
| 1326392853 | Josh Banks | Physical Therapist | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2012-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901468 | Natalia Tehan | Technician | 6417 Linworth Rd, Worthington, OH 43085 | 2020-04-22 |
| 1114546033 | Shelby Kaye Breneman | Case Manager/Care Coordinator | 445 E. Dublin Gradville Rd., Worthington, OH 43085 | 2020-04-10 |
| 1366919144 | Halle Kleiber | Behavior Technician | 455 E Dublin Granville Road, Worthington, OH 43085 | 2018-10-30 |
| 1184119943 | Debbie Elizabeth Costello | Foster Care Agency | 5655 North High St., Columbus, OH 43085 | 2018-06-25 |
| 1700389186 | Audrey Kathryn Eichenlaub | Dentist | 6641 N High St Ste 101, Worthington, OH 43085 | 2018-03-13 |
| 1568971828 | Sharon Cooley-burdine | Registered Nurse | 495 Englander Court, Worthington, OH 43085 | 2017-09-29 |
| 1487183885 | Kathleen Marie Hussein | Social Worker | 445 East Dublin-granville Road, Columbus, OH 43085 | 2017-06-08 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1346692431 | Julie H. Richards | Counselor | 870 High Street, Suite 203, Worthington, OH 43085 | 2016-07-12 |
| 1922452796 | Penny Anne Coons | Pharmacist | 866 Loch Lomond Lane, Worthington, OH 43085 | 2016-04-19 |
| Find all providers in zip 43085 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932441268 | David Albert Goss Jr. | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2013-03-25 |
| 1700178035 | Mark Andrew Prissel | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2011-05-04 |
| 1528051323 | Terrence M Philbin | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2005-08-26 |
| 1518950203 | Gregory C Berlet | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085 | 2005-08-26 |
| 1659364503 | Ohio Foot & Ankle, Inc | Orthopaedic Surgery | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548528573 | Clayton Alan Carmody | Orthopaedic Surgery | 7640 Sylvania Ave Ste B, Sylvania, OH 43560 | 2012-04-27 |
| 1306975990 | John Charles Stephens | Orthopaedic Surgery | 2892 Phoenix Ave, Hilliard, OH 43026-9188 | 2007-03-02 |
| 1063405868 | Thomas H. Lee | Orthopaedic Surgery | 10400 Blacklick Eastern Rd, Suite 110, Pickerington, OH 43147-8235 | 2005-08-26 |
| 1699272724 | Kevin Dennis Driscoll | Orthopaedic Surgery | 425 W 5th St, East Liverpool, OH 43920-2405 | 2018-04-05 |
| 1306238621 | Michael Pierce Ebaugh | Orthopaedic Surgery | 5100 W Broad St, Doctors Hospital, Columbus, OH 43228-1607 | 2015-02-24 |
| 1104191220 | Brian David Steginsky | Orthopaedic Surgery | 303 E Town St, Columbus, OH 43215 | 2012-03-22 |
| 1497085294 | Sandra A Eisele Md LLC | Orthopaedic Surgery | 3950 Red Bank Rd, Cincinnati, OH 45227-3429 | 2009-12-30 |
| 1477752970 | Nicholas Andrew Cheney | Orthopaedic Surgery | 70 S Cleveland Ave, Westerville, OH 43081-1397 | 2007-07-13 |
| 1558560292 | Brian Joseph Tscholl | Orthopaedic Surgery | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2007-07-12 |
| 1245442987 | Safet O. Hatic II | Orthopaedic Surgery | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | WORTHINGTON |
| Zip Code | 43085 |
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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.