Individual provider Active NPI

Erin Hall-Rhoades, MD

  • Family Medicine Physician
  • Menomonie, WI
National Provider Identifier
1417974270
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43890-20 Issued in WI
Practice address
103 1St Ave W
Menomonie, WI 54751-1876
Phone
(715) 232-1314
Fax
(715) 232-2103
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43890-20 WI Primary

Addresses

Primary practice location

103 1St Ave W
Menomonie, WI 54751-1876

Mailing address

103 1St Ave W
Menomonie, WI 54751-1876
Phone (715) 232-1314

Other identifiers 1

IdentifierTypeStateIssuer
02187819MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706001999 WI Order and Referring Only - Family PracticePractitioner - Family Practice 6800862616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43890-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Center at Ithaca Past Accepting new patients
New York Em-I Medical Services PC Past Accepting new patients
Cayuga Medical Center at Ithaca Past Accepting new patients

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1417974270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST AVE W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511876",
            "telephone_number": "715-232-1314",
            "fax_number": "715-232-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST AVE W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511876",
            "telephone_number": "715-232-1314",
            "fax_number": "715-232-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-RHOADES",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "43890-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.