Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396797726 Individual Practitioner Male Practitioner

Dr. Frederick R Haller , MD

Internal Medicine • Kellogg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Haller, MD is a registered healthcare professional specializing in Internal Medicine in Kellogg, ID. Practice services are available at 740 MCKINLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

740 Mckinley Ave

Kellogg, ID 838372523

Telephone 2087831267
Fax 2087864471
Associated Practice Facility / Clinic
🏢 Kellogg Physical Therapy Inc Facility NPI 1700898376

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kellogg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Kellogg, ID (472 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ID M3559

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002790400 (ID)
Commercial Insurance / Payer ID Medicare Dmerc
1185830001 (ID)
Commercial Insurance / Payer ID Railroad Medicare
080089993 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Theresa Calihan , MSN FNP

Nurse Practitioner - Family

NPI 1003364696

MSNFNP

Karen Currie , LCSW

Social Worker - Clinical

NPI 1144697814

Licensed Clinical Social Worker

Lindsey Hill , CHCW

Case Manager/Care Coordinator

NPI 1205445574
NPI 1285678912

Doctor of Medicine (M.D.)

NPI 1457346603

Doctor of Medicine (M.D.)

Rachel Ewing , RD, LD

Dietitian, Registered

NPI 1457738478

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2011

Registered at 740 MCKINLEY AVE, KELLOGG, ID 838372523 (Tel: 2087831267)

📍
Updated Business Mailing Address August 19, 2011

Registered at 740 MCKINLEY AVE, KELLOGG, ID 838372523 (Tel: 2087831267)

👤
Provider Name / Credentials Updated August 19, 2011

Recorded as FREDERICK HALLER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Internal Medicine (License #M3559 in ID)

🟢
Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396797726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: August 19, 2011
Sole Proprietor: No

Mailing Address

740 Mckinley Ave

Kellogg, ID 838372523

Phone: 2087831267

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.