Individual provider Active NPI

William Hall, MD

  • Obstetrics & Gynecology Physician
  • Woodbridge, VA
National Provider Identifier
1174902035
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT209183 Issued in PA
Practice address
2296 Opitz Blvd Ste 440
Woodbridge, VA 22191-3355
Phone
(703) 878-0740
Fax
(703) 878-3933
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT209183 PA Primary

Addresses

Primary practice location

2296 Opitz Blvd Ste 440
Woodbridge, VA 22191-3355

Mailing address

18 E Lancaster Ave
Apt 102
Wynnewood, PA 19096-3430

Other practice location 1

95 Dunn Dr Ste 205
Stafford, VA 22556-1503
Phone (703) 878-0740

Other practice location 2

8998 Lorton Station Blvd Ste A
Lorton, VA 22079-4790
Phone (703) 878-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211000307 VA Practitioner - Obstetrics/Gynecology 7012297492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JC Edwards School of Medicine, Marshall University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
About Women OB/GYNGroup PAC ID 2769382613, 6 clinicians

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 440
Woodbridge, VA 22191-3300
Phone (703) 878-0740

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT209183PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
About Women OB/GYN CurrentSince Oct 5, 2019 Accepting new patients

Locations

8998 Lorton Station Blvd
Ste A
Lorton, VA 22079
Phone (703) 878-0740

95 Dunn Dr
Ste 205
Stafford, VA 22556
Phone (703) 878-0740

2296 Opitz Blvd
Ste 440
Woodbridge, VA 22191
Phone (703) 878-0740

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039435

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1174902035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E LANCASTER AVE",
            "address_2": "APT 102",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 440",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913355",
            "telephone_number": "703-878-0740",
            "fax_number": "703-878-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Dunn Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225561503",
            "country_code": "US",
            "telephone_number": "703-878-0740",
            "fax_number": "703-878-3933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8998 Lorton Station Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220794790",
            "country_code": "US",
            "telephone_number": "703-878-0740",
            "fax_number": "703-878-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT209183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.