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MARK ROLLO HALVERSON MD NPI 1619175890


NPI Information

NPI: 1619175890
Provider Name: MARK ROLLO HALVERSON, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

PECOS Registration: Yes

Address:
816 W CANNON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 321-0387
Get Directions

Mark Rollo Halverson, MD is a pediatric radiology radiology in Fort Worth, TX with 17 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Mark Rollo Halverson, MD NPI is 1619175890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

816 W CANNON ST
FORT WORTH, TX
ZIP 76104-146
Phone: (817) 321-0387

The NPI 1619175890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 9/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085P0229XRadiologyPediatric RadiologyMD445798PENNSYLVANIANo
22085P0229XRadiologyPediatric RadiologyP8785TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121715004MEDICAIDTEXAS
2TXB120692MEDICARE PINTEXAS
3TXB120694MEDICARE PINTEXAS
4121715008MEDICAIDTEXAS
5285250104MEDICAIDTEXAS
600JO62MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.