Active NPI
David W Hale Jr., DO
- Emergency Medicine Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102201268
- Practice address
- 351 Court St
Abingdon, VA 24210-2921 - Phone
- (276) 676-7000
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102201268 | VA | Primary |
Addresses
Primary practice location
351 Court St
Abingdon, VA 24210-2921
Mailing address
16341 Brumley Gap Rd
Abingdon, VA 24210-4365
Phone (276) 492-1759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201268 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Epmg of Michigan, P.C. | Emergency Medicine | Past | Accepting new patients |
| Johnston Memorial Hospital | Past | Accepting new patients |
Locations
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Urgent Care Clinic/Center
- Norton, VA
- NPI 1063881456
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1033214440
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1124139993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16341 BRUMLEY GAP RD",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242104365",
"telephone_number": "276-492-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 COURT ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102921",
"telephone_number": "276-676-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102201268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.