David Lee Halley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301065630 Issued in MI

Practice address

345 Naomi St
Plainwell, MI 49080-1257

Phone

(269) 552-0100

Fax

(269) 552-0111

NPI assigned

Oct 4, 2006

Last updated

Mar 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1144275934
  NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1053406934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NAOMI ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801257",
            "telephone_number": "269-552-0100",
            "fax_number": "269-552-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mary Giddings, LLMSW
• Lisa Michelle Glass, OTR
• Allison Louise Gonzalez, DOULA
• Nicholas James Grala, MSN, RN
• Growing Motion Physical Therapy LLC
• Bryan M Halverson, DDS
• Harding & Hill Inc (Harding's Pharmacy Plainwell)
• Harding & Hill Inc (Campbells Pharmacy)
• Harmony Enterprises, Inc
• Elizabeth Harper

• Family Medicine Physician in Plainwell, MI
• Providers in Plainwell, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.