Amanda Hallberg MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301081734 Issued in MI

Legal business name

AMANDA HALLBERG MD PLLC

Practice address

2880 S. State Street
Suite 215
Ann Arbor, MI 48104

Phone

(734) 547-3990

Fax

(734) 547-3980

NPI assigned

Jul 30, 2014

Last updated

May 29, 2025By 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

Amanda Joy Hallberg, MDNPI 1255429320

Title

Physician Owner/Sole Owner

Phone

(734) 547-3990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda Kaufman MD PLLC Former legal business name

Practitioners 1

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.

• Amanda Hallberg, MD

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1255429320
  NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1790193084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 S. STATE STREET",
            "address_2": "SUITE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 S. STATE STREET",
            "address_2": "SUITE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA HALLBERG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2025-05-29",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HALLBERG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER/SOLE OWNER",
        "authorized_official_telephone_number": "734-547-3990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301081734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4778340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Kaufman MD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daniel Michael Alyesh, MD
• Alyssa Selasky LMSW
• Shadi Alzahrani, BDS
• Jason Mallo Amador, CRNA
• Amanda and Company Counseling LLC
• Nathan Matthew Amann, MD
• Noshir Yazdi Amaria, D.O.
• Jonathan Amaro-Barron
• Aylin Amaro
• Tess Amato, PA-S, ATC

• Primary Care Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.