I Scott Hall, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD22944 Issued in OR

Practice address

18160 Cottonwood Rd PMB 459
Sunriver, OR 97707-9317

Phone

(541) 598-2075

NPI assigned

Mar 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164546164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18160 COTTONWOOD RD PMB 459",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "977079317",
            "telephone_number": "541-598-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18160 COTTONWOOD RD PMB 459",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "977079317",
            "telephone_number": "541-598-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "I",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "0015149",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1498906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefan D'Auteuil
• Daniel M Skotte DO PC
• Carlee Nicole Demore
• Raquael Flores-Vuylsteke, IBCLC
• Tamara Lee Goen, LMT
• High Desert Therapy Associates Inc
• Robert Edward Lee
• Jason Arnie Leistad, L.AC.
• Kevin V. Lemley, M.D.
• Massage in Central Oregon LLC

• Internal Medicine Physician in Sunriver, OR
• Providers in Sunriver, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.