Individual provider Active NPI

Allison Dolbee Halonen, DO

  • Pediatrics Physician
  • Battle Creek, MI
National Provider Identifier
1811217755
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101018668 Issued in MI
Practice address
4520 Beckley Rd
Battle Creek, MI 49015-7941
Phone
(269) 969-8723
Fax
(269) 969-8723
NPI assigned
Jun 2, 2010
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5101018668 MI
Pediatrics Physician 208000000X 5101018668 MI Primary

Addresses

Primary practice location

4520 Beckley Rd
Battle Creek, MI 49015-7941

Mailing address

4520 Beckley Rd.
Batte Creek, MI 49015
Phone (269) 969-8723

Other identifiers 1

IdentifierTypeStateIssuer
103057310MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527001793 MI Practitioner - Pediatric Medicine 7618267964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018668MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Apr 20, 2016 Accepting new patients
Cereal City Pediatrics Pediatrics Past Accepting new patients

Locations

601 John St
#E352
Kalamazoo, MI 49007
Phone (269) 341-8986

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1811217755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD.",
            "city": "BATTE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157941",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALONEN",
        "first_name": "ALLISON",
        "middle_name": "DOLBEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101018668",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101018668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103057310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.