Lisa Marie Halvorson, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

D0078686 Issued in MD

Practice address

703 New Mark Esplanade
Rockville, MD 20850-2739

Phone

(214) 288-1960

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.halvorson@335000925634564.direct.elationemr.com

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.

• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1568412088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NEW MARK ESPLANADE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502739",
            "telephone_number": "214-288-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NEW MARK ESPLANADE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502739",
            "telephone_number": "214-288-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D0078686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155350501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Halle, MD
• Aleena Halley
• Kevin Halpin
• Harley Halsey
• Ashley Kristen Haltenhof, MS, CCC/SLP
• Salar Hamad
• Danyel Hambleton
• Frederick Hambrecht, M.D.
• Douglas Andrew Hambright, VMD
• Rahima Hamed

• Reproductive Endocrinology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Reproductive Endocrinology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.