Individual provider Active NPI

Jeri Hallman, M.D.

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1356564819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G4228 Issued in TX
Practice address
6420 Willow Creek Dr
Plano, TX 75093-8057
Phone
(972) 403-1070
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G4228 TX Primary

Addresses

Primary practice location

6420 Willow Creek Dr
Plano, TX 75093-8057

Mailing address

6420 Willow Creek Dr
Plano, TX 75093-8057
Phone (972) 403-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4228TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services Past Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Maniilaq Association Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Maniilaq Association Past Accepting new patients

Organizations & group practices 6

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356564819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 WILLOW CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938057",
            "telephone_number": "972-403-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 WILLOW CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938057",
            "telephone_number": "972-403-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "JERI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.