Nicholas Hallak, MD, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD60014240 Issued in WA

Legal business name

NICHOLAS HALLAK, MD, PLLC

Practice address

1921 Sumner Avenue
Aberdeen, WA 98520

Phone

(360) 538-0135

Fax

(360) 533-3475

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Nicholas Hallak, MD

Title

Owner

Phone

(360) 538-0135

Specialties & licenses 1

Addresses

Practitioners 1

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

• Laura Arvilla Hallak, MD

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1861609778
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1407010093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200228",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SUMNER AVENUE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS HALLAK, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "HALLAK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-538-0135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60014240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Neill
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• Jessica Noel Nowobilski
• Marjorie J Nunez, N.P.

• Obstetrics & Gynecology Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.