Randall E Halley DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

R9D75 Issued in MO

Legal business name

RANDALL E HALLEY DO

Practice address

1200 W Hall St
Ozark, MO 65721-9103

Phone

(417) 753-9404

NPI assigned

Apr 18, 2007

Last updated

Jul 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryle L Klipper

Title

Manager

Phone

(417) 753-9404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Randall E Halley, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Columbia, MO
  • NPI 1245232693
  NPD (past)
• Phyllis Jean Harter, FNP

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1619086816
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1750507398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657211455",
            "telephone_number": "417-753-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HALL ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219103",
            "telephone_number": "417-753-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL E HALLEY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "KLIPPER",
        "authorized_official_first_name": "CHERYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-753-9404"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R9D75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505984203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Plunkett, PT, DPT
• Karen J Potter, RNC WHNP
• Preferred Hospice of Missouri Southwest LLC (Preferred Hospice)
• Veronica Ann Putnam, FNP
• Quickstone LLC (Quick Care-Ozarks)
• Bethany Marie Ray, MS, CCC-SLP
• John Ross Ray, PT
• Kathy Redmon
• Reflekt Counseling LLC
• Regional Services (The Clinic at Walmart Operated by Coxhealth Store # 379)

• Geriatric Medicine (Family Medicine) Physician in Ozark, MO
• Providers in Ozark, MO by specialty
• Geriatric Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.