Provider Demographics
NPI:1104845700
Name:HALPENNY, JOHN STIRLING (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:STIRLING
Last Name:HALPENNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 ELM ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1933
Mailing Address - Country:US
Mailing Address - Phone:607-324-3295
Mailing Address - Fax:607-324-7298
Practice Address - Street 1:20 ELM ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1933
Practice Address - Country:US
Practice Address - Phone:607-324-3295
Practice Address - Fax:607-324-7298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY194702-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY689F71OtherEMPIRE BC/BS
NY000523180002OtherHEALTH NOW NY
NY000523180002OtherCOMMUNITY BLUE
NY2872OtherBC/BS ROCHESTER
NY6076637 00OtherBLACK LUNG
NY000523180002OtherBC/BS WNY
NYP010194702OtherBLUE CHOICE
NY000003862OtherBLUESHIELD SYRACUSE
NY00040271503OtherUNIVERA
NY194702-COS1OtherWORKERS COMP
611317900OtherFEDERAL WORKERS COMP FECA
NY9744149OtherGHI
NY01559113Medicaid
NY101501CUOtherPREFERRED CARE
NYP00308708Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NY000523180002OtherBC/BS WNY
NY01559113Medicaid