Active NPI
Marcel E Haulard
- Family Medicine Physician
- Wright City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 100982
- Practice address
- 305 W N 2ND St
Wright City, MO 63390 - Phone
- (636) 745-2400
- NPI assigned
- Dec 14, 2005
- Last updated
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 100982 | MO | Primary |
Addresses
Primary practice location
305 W N 2ND St
Wright City, MO 63390
Mailing address
PO Box 258
Wright City, MO 63390-0258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208208108 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100719000020 | MO | Practitioner - Family Practice | 0446382063 | Practice locations: Wright City, MO; Wentzville, MO; Wellsville, MO; Warrenton, MO; Troy, MO; Saint Peters, MO; O Fallon, MO; New Florence, MO… |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 W N 2ND St
Wright City, MO 63390
Phone (636) 745-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Florence Nursing Home, Inc | Past | Accepting new patients | |
| St. Andrew's at Francis Place | Past | Accepting new patients | |
| Aspire Senior Living New Florence LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Aspire Senior Living New Florence
- Skilled Nursing Facility
- New Florence, MO
- NPI 1760270441
-
dba New Florence Nursing and Care Center
- Skilled Nursing Facility
- New Florence, MO
- NPI 1558356295
-
- Skilled Nursing Facility
- Eureka, MO
- NPI 1720012347
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspire Senior Living New Florence
- Skilled Nursing Facility
- New Florence, MO
- NPI 1760270441
Nursing home
-
dba Nurses & Company Hospice Care
- Community Based Hospice Care Agency
- Saint Peters, MO
- NPI 1871672493
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1093790883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 258",
"city": "WRIGHT CITY",
"state": "MO",
"postal_code": "633900258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W N 2ND ST",
"city": "WRIGHT CITY",
"state": "MO",
"postal_code": "63390",
"telephone_number": "636-745-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAULARD",
"first_name": "MARCEL",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "100982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208208108",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wright City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.