Active NPI
Robert L Halterman, D.O.
- Gynecology Physician
- Clarksville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 200300349
- Practice address
- 1100 E Poplar St
Ste a
Clarksville, AR 72830-4419 - Phone
- (479) 754-5337
- Fax
- (479) 754-5348
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 119015 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 02241 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 119015 | MO | |
| Gynecology Physician | 207VG0400X | 200300349 | NC | Primary |
Addresses
Primary practice location
1100 E Poplar St
Ste a
Clarksville, AR 72830-4419
Mailing address
901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131-9712
Phone (816) 502-8752
Other practice location 1
4320 Wornall Rd Ste 336
Kansas City, MO 64111-5963
Phone (816) 932-6100
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 3
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02241 | Other | KY | STATE LICENSE |
| 119015 | Other | MO | STATE LICENSE |
| N49003 | Medicaid | SC | |
| 000000538418 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119015 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| DHP of Manatee PA | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| Obhg Arkansas, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9501 Baptist Health Dr
Ste 800
Little Rock, AR 72205
Phone (501) 223-2080
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
Interoperability endpoints
- rhalterm@yourcarecommunity.org
- rhalterman746943@direct.baptist-healthar.org
Organizations & group practices 10
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.
-
dba Center for Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Little Rock, AR
- NPI 1760752612
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Obstetrics & Gynecology Physician
- Naples, FL
- NPI 1811652704
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1881638013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E. 104TH ST.",
"address_2": "MAILSTOP 400N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641319712",
"telephone_number": "816-502-8752",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E POPLAR ST",
"address_2": "STE A",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304419",
"telephone_number": "479-754-5337",
"fax_number": "479-754-5348"
}
],
"practiceLocations": [
{
"address_1": "4320 Wornall Rd Ste 336",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641115963",
"country_code": "US",
"telephone_number": "816-932-6100",
"fax_number": "816-932-1786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-364-9000",
"fax_number": "573-426-2108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-8899",
"fax_number": "573-341-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALTERMAN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "119015",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "02241",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "119015",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "200300349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "02241",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "119015",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N49003",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000538418",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.