Active NPI
Robert J Hallock, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D75037
- Practice address
- 111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26624 | WV | |
| Emergency Medicine Physician | 207P00000X | 44713-020 | WI | |
| Emergency Medicine Physician | 207P00000X | 035105392 | IL | |
| Emergency Medicine Physician | 207P00000X | D75037 | MD | Primary |
Addresses
Primary practice location
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Mailing address
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other practice location 1
2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811
Other practice location 2
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121
Other practice location 3
23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 488-4139
Other practice location 4
45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501
Other practice location 5
1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone (240) 964-9300
Other practice location 6
10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone (301) 689-3229
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930118424 | Other | IL | MEDICARE RAILROAD |
| P00012889 | Other | WI | MEDICARE RAILROAD |
| 036105392 | Medicaid | IL | |
| 34602500 | Medicaid | WI | |
| P00043244 | Other | IL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MD, WV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Connecticut School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12285 Bandera Rd
Helotes, TX 78023-4772
Phone (210) 575-2285
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
- Methodist Hospital
- Ascension NE Wisconsin - St Elizabeth Campus
- Methodist Hospital Stone Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035105392 | IL | MD | Emergency Medicine Physician |
| D75037 | MD | MD | Emergency Medicine Physician |
| 44713-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Mep Observation Services LLC | Emergency Medicine | Current | Accepting new patients |
| Mep Observation Services LLC | Current | Accepting new patients | |
| Madison Emergency Physicians, SC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Emergency Medicine Specialists, S.C. | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Tele-Physicians, P.C. | Past | Accepting new patients | |
| United Occupational Medicine and Walk in Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Orthoconnecticut, PLLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Access Telecare, PLLC | Past | Accepting new patients | |
| Ihc-Libertyville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients | |
| Ack Medical Transportation | Past | Accepting new patients | |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Ihc-Swedishamerican Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-St. Francis Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-Mercy Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Forefront Telecare Inc | Past | Accepting new patients |
Locations (25 of 53)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941
23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911
12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805
13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560
6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000
20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
3329 N Richmond St
Appleton, WI 54911
Phone (920) 380-2715
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
Interoperability endpoints
- rhallock826154@direct.froedtert.com
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Emergency Medicine Physician
- Pleasant Prairie, WI
- NPI 1326730664
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Family Medicine Physician
- Reedsburg, WI
- NPI 1457780983
-
- Emergency Medicine Physician
- Oconto Falls, WI
- NPI 1710754296
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1043265804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"address_2": "SUITE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"address_2": "SUITE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [
{
"address_1": "2661 County Highway I",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547295407",
"country_code": "US",
"telephone_number": "715-723-1811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 W Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016122",
"country_code": "US",
"telephone_number": "715-717-4121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23789 Garrett Hwy",
"address_purpose": "LOCATION",
"city": "Mc Henry",
"state": "MD",
"postal_code": "215411338",
"country_code": "US",
"telephone_number": "240-488-4139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Hunt Club Dr",
"address_purpose": "LOCATION",
"city": "Ridgeley",
"state": "WV",
"postal_code": "267537567",
"country_code": "US",
"telephone_number": "304-726-4501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 W Industrial Blvd Ste 17",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215024331",
"country_code": "US",
"telephone_number": "240-964-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10701 New Georges Creek Rd SW",
"address_purpose": "LOCATION",
"city": "Frostburg",
"state": "MD",
"postal_code": "215321457",
"country_code": "US",
"telephone_number": "301-689-3229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLOCK",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "26624",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "44713-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "035105392",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D75037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930118424",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00012889",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105392",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34602500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00043244",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.