NPIMap

Organization Active NPI

Philip R Halvorsen, MD, PLLC

  • Specialist
  • Richland, WA
National Provider Identifier
1740452051
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00025724 Issued in WA
Legal business name
PHILIP R HALVORSEN, MD, PLLC
Practice address
969 Stevens Dr
Suite 3a
Richland, WA 99352-3525
Phone
(509) 946-8696
Fax
(509) 946-8646
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Philip Roy Halvorsen, M.D.
Title
Owner
Phone
(509) 946-8696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00025724 WA Primary

Addresses

Primary practice location

969 Stevens Dr
Suite 3a
Richland, WA 99352-3525

Mailing address

969 Stevens Dr
Suite 3a
Richland, WA 99352-3525
Phone (509) 946-8696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1740452051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR",
            "address_2": "SUITE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523525",
            "telephone_number": "509-946-8696",
            "fax_number": "509-946-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR",
            "address_2": "SUITE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523525",
            "telephone_number": "509-946-8696",
            "fax_number": "509-946-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R HALVORSEN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "HALVORSEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-946-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00025724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.