M Hal Pearlman, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036064119 Issued in IL

Practice address

305 W Jackson St
Suite 302
Carbondale, IL 62901-1474

Phone

(618) 457-0451

Fax

(618) 529-3826

NPI assigned

Jul 29, 2005

Reactivated

Feb 10, 2014

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Marion Diagnostic Center, LLC

  • Multi-Specialty Clinic/Center
  • Marion, IL
  • NPI 1366543084

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1780684936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST",
            "address_2": "SUITE 302",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-457-0451",
            "fax_number": "618-529-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST",
            "address_2": "SUITE 302",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-457-0451",
            "fax_number": "618-529-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "M",
        "middle_name": "HAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-02-10",
        "deactivation_date": "2009-01-20",
        "reactivation_date": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036064119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Parmly, P.T.
• Carrie Elaine Parr, LCSW
• Geoffrey Andrews Partlow II, DMD
• Meleah Paschall, LPC
• Melissa Patil, DNP, APRN, PMHNP-BC
• Precious N Pedersen, MD
• Pediatric Group LLC
• Meeka Kay Pennington
• Lexie McKenna Peper, OD
• Rollin Morris Perkins III, MD

• Otolaryngology Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.