Neil Halim Fairfield Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 022628 Issued in LA

Legal business name

NEIL HALIM FAIRFIELD FAMILY CLINIC

Practice address

1860 Fairfield Ave
Shreveport, LA 71101-4431

Phone

(318) 675-1313

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Neil Hailm, M.D.

Title

Doctor

Phone

(318) 675-1313

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil L Halim, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1689623548
  Medicare reassignment NPD
• Janna S Nichols, NP

  • Nurse Practitioner
  • Bossier City, LA
  • NPI 1780918490
  Medicare reassignment NPD
• Megan Ray O'Neal, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1659807980
  Medicare reassignment NPD
• Martha R Wafer, M.D.

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1619179421
  Medicare reassignment NPD
• Nicole M. Malley, PA

  • Physician Assistant
  • Marksville, LA
  • NPI 1649564964
  Medicare reassignment

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1104025121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL HALIM FAIRFIELD FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "HAILM",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "318-675-1313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD 022628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "437379903F",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDAL NPI#",
            "identifier": "1689623548",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neera Chhabra MD and Willis-Knighton Medical Center
• Meghan Elizabeth Neffendorf, MS,ATC,LAT
• Gerardo Negron, MD
• Hector Negron, M.D.
• Tracy Neighbors
• Neil Halim Fairfield Family Clinic
• Rhonda Neil, MSC/PLPC
• Nelson & Nelson Apmc
• Amaria Nelson
• Brenda Lavon Nelson

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.