Susan K. Halter, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

24966 Issued in WI

Practice address

800 West Ave S
La Crosse, WI 54601

Phone

(608) 785-0940

NPI assigned

Jun 20, 2005

Last updated

May 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1467457069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "608-785-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-785-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Montgomery Street",
            "address_purpose": "LOCATION",
            "city": "Decorah",
            "state": "IA",
            "postal_code": "52101",
            "country_code": "US",
            "telephone_number": "563-382-2911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Montgomery Street",
            "address_purpose": "LOCATION",
            "city": "Decorah",
            "state": "IA",
            "postal_code": "52101",
            "country_code": "US",
            "telephone_number": "563-382-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTER",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "24933",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "24966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Jo Hall
• Karen L Hall, LPC
• Mariah Hall, NP
• Timothy Warner Hall
• Ellyn Halley, DC
• Patrick Halton, RPH
• Kathryn Annette Halverson, OT
• Kenji Hamamoto, RPH
• Edward George Hames III, MD
• Jessica Lynn Hamilton, CNM

• Physical Medicine & Rehabilitation Physician in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.