Kim A Halladay, DPM | |
2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | |
(435) 882-0711 | |
(435) 882-1778 |
Full Name | Kim A Halladay |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 2356 N 400 E, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902809528 | NPI | - | NPPES |
0994190001 | Other | UT | DME |
480008495 | Other | UT | RAILROAD MEDICARE |
QM0000054283 | Other | UT | ALTIUS |
107006704101 | Other | UT | IHC |
2649 | Other | UT | PEHP |
870406457 84074 | Other | UT | TRICARE |
36338 | Other | UT | DMBA |
870406457 HA1 | Other | UT | EMIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 103966-0501 (Utah) | Primary |
Provider Name | Ryan K Anderson D P M P C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
Provider Name | Tooele Foot & Ankle Clinic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255509154 PECOS PAC ID: 4385727031 Enrollment ID: O20080219000144 |
Mailing Address | Practice Location Address |
---|---|
Kim A Halladay, DPM 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 | Kim A Halladay, DPM 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Tooele Foot & Ankle Clinic, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 | |
Dr. Derek Scott Anselmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 610-983-1000 |