Hall Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48824 Issued in CO

Legal business name

HALL MEDICAL, LLC

Practice address

3190 S Wadsworth Blvd Ste 250
Lakewood, CO 80227-4800

Phone

(303) 904-0976

Fax

(303) 948-5318

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Jeanne Hall, MDNPI 1588625511

Title

Owner

Phone

(303) 904-0976

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2750/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jeanne M Hall, MD

  • Family Medicine Physician
  • Lakewood, CO
  • NPI 1588625511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1164724274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274800",
            "telephone_number": "303-904-0976",
            "fax_number": "303-948-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274800",
            "telephone_number": "303-904-0976",
            "fax_number": "303-948-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-904-0976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Jade Hale, MSW, SWC
• Ashley Elaine Hale
• Katherine Hale, LSW
• Erin Colleen Haley, M.A.PSY L.P.C.
• Tanya C Haley, M.ED CCC-SLP
• Alexandra G Hall, LCSW
• Christopher A Hall, RBT
• Erin Hall
• Iann Hall, L.AC
• Jeanne M Hall, MD

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.