Organization Active NPI

Gregory L. Hall M.D. Inc

  • Preferred Provider Organization
  • Richmond Heights, OH
National Provider Identifier
1063539260
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
35063967 Issued in OH
Legal business name
GREGORY L. HALL M.D. INC
Practice address
464 Richmond Rd
Suite 201
Richmond Heights, OH 44143-2704
Phone
(216) 881-5055
Fax
(216) 999-7758
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Gregory L Hall, M.D.
Title
President
Phone
(216) 881-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 35063967 OH Primary

Addresses

Primary practice location

464 Richmond Rd
Suite 201
Richmond Heights, OH 44143-2704

Mailing address

464 Richmond Rd
Suite 201
Richmond Heights, OH 44143-2704
Phone (216) 881-5055

Other identifiers 1

IdentifierTypeStateIssuer
2920307MedicaidOH

National Provider Directory

National Provider Directory

Locations

464 Richmond Rd
Ste 201
Richmond Hts, OH 44143
Phone (216) 481-6654

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1063539260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD",
            "address_2": "SUITE 201",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432704",
            "telephone_number": "216-881-5055",
            "fax_number": "216-999-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD",
            "address_2": "SUITE 201",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432704",
            "telephone_number": "216-881-5055",
            "fax_number": "216-999-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. HALL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-881-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "35063967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.