Charles Cory Hallacy

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

557616 Issued in KS

Practice address

3066 N Kentucky St
Iola, KS 66749-1951

Phone

(620) 365-1000

NPI assigned

Jul 17, 2018

Sex

Male

Sole proprietor

Yes

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 KS, MO2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Freeman Surgical Center of Pittsburg, LLC

  • Ambulatory Surgical Clinic/Center
  • Pittsburg, KS
  • NPI 1881089076

  KS

  Medicare reassignment NPD
• Labette County Medical Center

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362

  KS, Single Specialty

  Medicare reassignment NPD
• Mercy Clinic Pittsburg LLC

  • Internal Medicine Physician
  • Pittsburg, KS
  • NPI 1912751884

  KS, Single Specialty

  Medicare reassignment NPD
• Saint Lukes Hospital of Garnett Inc

  • Critical Access Hospital
  • Garnett, KS
  • NPI 1316911878

  KS

  Medicare reassignment NPD
• Saint Lukes Hospital of Garnett Inc

  • General Practice Physician
  • Garnett, KS
  • NPI 1619901725

  KS, Single Specialty

  Medicare reassignment NPD
• Baxley Anesthetics of Kansas

  • Medical Specialty Clinic/Center
  • Webb City, MO
  • NPI 1508562059

  KS, Single Specialty

  Medicare reassignment NPD
• Cox Barton County Hospital

  • Emergency Medicine Physician
  • Lamar, MO
  • NPI 1174166177

  MO, Single Specialty

  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125

  MO, Single Specialty

  Medicare reassignment NPD
• Northstar Anesthesia of Missouri, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1396191789

  MO, Single Specialty

  Medicare reassignment NPD
• Saint Luke'S Hospital of Allen County, Inc

  • Critical Access Hospital
  • Iola, KS
  • NPI 1639185457

  KS

  Medicare reassignment
• Labette County Medical Center

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  • Anesthesiology Physician
  • Parsons, KS
  • NPI 1811981293

  Single Specialty

  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1295211704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S PINE ST",
            "city": "ARMA",
            "state": "KS",
            "postal_code": "667124008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 N KENTUCKY ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491951",
            "telephone_number": "620-365-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLACY",
        "first_name": "CHARLES",
        "middle_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Michelle Frishman, RN, IBCLC
• Yang Gong X, D. AC
• Joyce Jinelle Gonzales, APRN
• Guest Home Estate of Iola, LLC
• Guest Home Estates of Iola,LLC
• Amy Haney, LMSW
• Rachel R Harrington, LAC
• Andrew Haworth, M.A.
• Health Management of Kansas, Inc.
• Heartland Meadows LLC

• All providers in Iola, KS
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.