Individual provider Active NPI

Andrea Lois Halliday, MD

  • Neurological Surgery Physician
  • Springfield, OR
National Provider Identifier
1306829049
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD25669 Issued in OR
Practice address
3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone
(541) 686-8353
Fax
(541) 343-9387
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD25669 OR Primary

Addresses

Primary practice location

3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800

Mailing address

3355 Riverbend Drive
Suite 400
Springfield, OR 97477
Phone (541) 686-8353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000584 OR Practitioner - Neurosurgery 9234172636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25669ORMDNeurological Surgery Physician
25669ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurological Disorders, PA Neurological Surgery PastSince Feb 22, 2010 Accepting new patients
Keiperspine, PC PastSince Jan 1, 2005 Accepting new patients
Fort Worth Brain & Spine Institute, LLP Neurological Surgery Past Accepting new patients
Oregon Anesthesiology Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahalliday12227@direct.peacehealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1306829049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DRIVE",
            "address_2": "SUITE 400",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-686-8353",
            "fax_number": "541-343-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "SUITE 400",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-686-8353",
            "fax_number": "541-343-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIDAY",
        "first_name": "ANDREA",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD25669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.