Elisabeth Jones Haller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15807 Issued in MS

Practice address

1721 Medical Park Dr Ste 200
Biloxi, MS 39532-2105

Phone

(228) 248-2572

Fax

(228) 396-0687

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ehaller@direct.mhg.com

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.

• Cedar Lake Pediatric Clinic PLLC

  • Pediatrics Physician
  • Biloxi, MS
  • NPI 1497826044
  NPD (past)
• Medical Foundation of South Ms

  dba Southern Coast Family Medical

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1821233917
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679679864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8873",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358873",
            "telephone_number": "228-248-2572",
            "fax_number": "228-396-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR STE 200",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322105",
            "telephone_number": "228-248-2572",
            "fax_number": "228-396-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "ELISABETH",
        "middle_name": "JONES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "15807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120595",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ayn Hakanson, CTRS
• Charles Terry Hall, DDS
• Felisa Jeannette Hall, MSN, APRN, FNP-C
• Karen Lee Hall, BS, MA, RN, FNP-BC
• Stephanie Leah Hall, RN, CCRN
• Dennis Keith Halsey, MAC
• Jakob Ham
• Larry Hammonds, RNFA / CNOR
• Karen Joan Hampton, LPC
• Ashley Han, OD

• Pediatrics Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.