Michael Halenkamp, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

45699 Issued in CO

Practice address

PO Box 544
Monument, CO 80132-0544

Phone

(719) 522-1134

Fax

(719) 268-2819

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1215948096
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1780627596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 RESEARCH PARKWAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201604",
            "telephone_number": "719-522-1134",
            "fax_number": "719-268-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801320544",
            "telephone_number": "719-522-1134",
            "fax_number": "719-268-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALENKAMP",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "45699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83775552",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Gross
• Rebeccah R. Gurule, AC-AGNP
• Gwen Simbeck LPC PLLC
• Gypsy Wind Ranch, LLC
• Michael G. Haas, M.D.
• William Richard Hallmark, O.D.
• Hamme Health Associates LLC
• Tanya Renee Hammond
• Hamula Orthodontics
• David Wayne Hamula, DDS, MSD

• Pediatrics Physician in Monument, CO
• Providers in Monument, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.