Individual provider Active NPI

William J. Halleran III, M. D.

  • Diagnostic Radiology Physician
  • Clearwater, FL
National Provider Identifier
1922098243
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME86155 Issued in FL
Practice address
1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846
Phone
(727) 441-3711
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME86155 FL Primary

Addresses

Primary practice location

1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846

Mailing address

PO Box 660
Clearwater, FL 33757-0660
Phone (727) 793-9300

Other identifiers 1

IdentifierTypeStateIssuer
48510OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Diagnostic Center LLC Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology Current Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 15, 2004 Accepting new patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Health Services, Inc Diagnostic Radiology CurrentSince Jul 15, 2004 Accepting new patients
Alliance Radiology, PA Diagnostic Radiology Past Accepting new patients
Johnson County Imaging Center LLC Diagnostic Radiology PastSince Oct 1, 1998 Accepting new patients
Premier Radiology, LLP Diagnostic Radiology Past Accepting new patients
Shawnee Mission Open MRI, LLC Diagnostic Radiology Past Accepting new patients
Advanced Imaging, LLP Diagnostic Radiology Past Accepting new patients
Medical Specialist Associates of Florida LLC Past Accepting new patients

Locations

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

3890 Tampa Rd
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922098243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337570660",
            "telephone_number": "727-793-9300",
            "fax_number": "727-793-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "SUITE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-441-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLERAN",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME86155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48510",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.