Healthcare Provider Details

I. General information

NPI: 1366413353
Provider Name (Legal Business Name): MICHAEL E HALLIGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 NEWMAN ROAD
NEW BERN NC
28562-5200
US

IV. Provider business mailing address

PO BOX 896206
CHARLOTTE NC
28289-6206
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-6730
  • Fax: 252-633-6740
Mailing address:
  • Phone: 252-633-6730
  • Fax: 252-633-6740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME179216
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number0447334
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME179216
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number18434
License Number StateND
# 5
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number9700577
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9700577
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: