Volha Haliantava, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

66812 Issued in WI

Practice address

146 E Geneva SQ
Lake Geneva, WI 53147-9694

Phone

(262) 239-5000

Fax

(262) 249-7142

NPI assigned

Mar 30, 2013

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

Practice roles

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.

• Prima Medical Practices Inc

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1295332104
  NPD (past)

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1598008351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E GENEVA SQ",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531479694",
            "telephone_number": "262-239-5000",
            "fax_number": "262-249-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E GENEVA SQ",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531479694",
            "telephone_number": "262-239-5000",
            "fax_number": "262-249-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIANTAVA",
        "first_name": "VOLHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141135",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "66812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara M. Grocholski, PT
• Tracy Grossman, LMT
• Denia Guerrero, LPN
• Kelli Ann Gursky, DPT
• Susan M Hagnell, MD
• Christopher John Hanson, DO
• Normajean L Harness
• Matthew Joseph Heinz, DDS, MD
• Kathryn Hepner, LPC, NCC
• Hanna M Herland, OT

• Family Medicine Physician in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.