John H Hall Jr MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JOHN H HALL JR MD PA

Practice address

1305 W Wendover Avenue
Ste D
Greensboro, NC 27408

Phone

(336) 333-9111

Fax

(336) 333-2042

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John H Hall Jr., MDNPI 1174610935

Title

President

Phone

(336) 333-9111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John H Hall Jr., MD

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1174610935
  Medicare reassignment Care Compare group NPD Authorized official
• Rosanna Carol McConnell, MD

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1245318245
  Medicare reassignment Care Compare group NPD
• Amber J Register, PA C

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1598852360
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023105897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W WENDOVER AVENUE",
            "address_2": "STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-333-9111",
            "fax_number": "336-333-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W WENDOVER AVENUE",
            "address_2": "STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-333-9111",
            "fax_number": "336-333-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H HALL JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-333-9111",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA2553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014WK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NC",
            "identifier": "014WK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Coffin Jodoin, LPC
• Reshawn Hines Joe
• Joelle's Center of Hope Inc
• John E Sexton and Associates Inc
• John F. Saunders, DDS, PA
• John S Won MD PA
• John W. Hooker,DDS,PA
• Alexis John, RN
• Jacqueline John
• Rini John

• Dermatology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.