Paul J Halter III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01059547A Issued in IN

Practice address

300 E Boyd Ave Ste 250
Greenfield, IN 46140-2845

Phone

(317) 467-4500

Fax

(317) 477-6321

NPI assigned

Aug 16, 2005

Last updated

Oct 8, 2010By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hancock Physician Network, LLC

  • Family Medicine Physician
  • Greenfield, IN
  • NPI 1609806470

  Pediatrics

  Medicare reassignment NPD
• Hancock Regional Hospital

  • Surgery Physician
  • Greenfield, IN
  • NPI 1114016987
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1639161748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461400129",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 250",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402845",
            "telephone_number": "317-467-4500",
            "fax_number": "317-477-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTER",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01059547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200303630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "7199596",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000341265",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD  GRP# & LOCATION",
            "identifier": "200311740E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Haffner, D.V.M.
• Kimberly Hage, LCSW, SAP
• John C Hale, MD
• Kierstin Hall
• Paula Hall, MD
• Hancock Anesthesia Group, LLC
• Hancock County Health Department
• Hancock County Senior Services, Inc.
• Hancock County Senior Services, Inc.
• Hancock Eye Associates PC

• Pediatrics Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.