Iwona M. Pakula-Haller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

21425 Spring St
Primary Care Union Grove
Union Grove, WI 53182-9707

Phone

(262) 878-7001

Fax

(262) 878-7024

NPI assigned

Jul 26, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154345809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "address_2": "PRIMARY CARE UNION GROVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829707",
            "telephone_number": "262-878-7001",
            "fax_number": "262-878-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "address_2": "PRIMARY CARE UNION GROVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829707",
            "telephone_number": "262-878-7001",
            "fax_number": "262-878-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKULA-HALLER",
        "first_name": "IWONA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mudge
• Andrew A Nicholas, DPT
• Oak Ridge Care Center, Inc.
• Samantha Olson, LMFT, SAC
• Natalie R Oxendine-Perman
• Joshua D Phillips, M.D.
• Thomas D Porter, NP
• Laurie Beth Potratz
• Purposeful Play LLC
• Linda Ratkovec, LPN

• Psychiatry Physician in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.