NPIMap

Organization Active NPI

D W Halliday MD PHD PLLC

  • Facial Plastic Surgery Physician
  • Skaneateles, NY
National Provider Identifier
1578112504
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
D W HALLIDAY MD PHD PLLC
Practice address
7 Fennell St
Skaneateles, NY 13152-1196
Phone
(315) 685-0247
NPI assigned
Sep 11, 2019
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Douglas W Halliday, MDNPI 1255343984
Title
Owner
Phone
(315) 492-3738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X NU Primary

Addresses

Primary practice location

7 Fennell St
Skaneateles, NY 13152-1196

Mailing address

2372 Sweet Home Rd Ste 3
Amherst, NY 14228-2330
Phone (716) 389-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191116000194 NY Part B Supplier - Clinic/Group Practice 1658703459 Receives reassigned benefits from 4 practitioners
Practice locations: Cicero, NY; Skaneateles, NY

National Provider Directory

National Provider Directory

Locations

6221 State Route 31
Ste 105
Cicero, NY 13039
Phone (315) 752-3000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1578112504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 SWEET HOME RD STE 3",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282330",
            "telephone_number": "716-389-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FENNELL ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521196",
            "telephone_number": "315-685-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D W HALLIDAY MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-3738",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.