Edward John Halusic Jr., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS-021856-L Issued in PA

Practice address

220 Bessemer Rd
Mt Pleasant, PA 15666-9122

Phone

(724) 547-0999

Fax

(724) 547-5345

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ehalusic@direct.excelahealth.org

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922011105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-0999",
            "fax_number": "724-547-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-0999",
            "fax_number": "724-547-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALUSIC",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS-021856-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DS-021856-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "FA044331",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Garcher, PT
• Gateway Rehabilitation Center
• Amy Geary
• Jerome W Gera, MD
• Habiba Health Services PC
• Erica Marie Hans, PT, DPT
• Harmon House Health & Rehab Center, LLC
• Katie Harris, PA-C
• Healthdirect Institutional Pharmacy Services, Inc.
• Phillip McCloy Herd, DC

• All providers in Mt Pleasant, PA
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.