Jon M Hall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01050887A Issued in IN

Practice address

4015 Gateway Blvd
Newburgh, IN 47630-8925

Phone

(812) 858-9400

Fax

(812) 858-9571

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, AL2 enrollments

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 2

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus - Southwestern Indiana Hospice, Evansville, IN, CCN 151651
• Harrison County Hospital Hospital, Corydon, IN, CCN 151331

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhall119284@direct.owensborohealth.org
• Direct secure messaging: jon.hallmd.p1@direct.umc.nextgenshare.com
• Direct secure messaging: jon.hall@297228672368644.direct.elationemr.com

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.

• Harrison County Hospital

  • Internal Medicine Physician
  • Corydon, IN
  • NPI 1790892727
  Medicare reassignment Care Compare group NPD
• Capstone Health Services Foundation PC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1740397751
  Medicare reassignment NPD
• Harrison County Hospital

  • Rural Health Clinic/Center
  • Corydon, IN
  • NPI 1700779378
  NPD
• Capstone Health Services Foundation PC

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1255212353
  NPD
• Capstone Health Services Foundation PC

  • Multi-Specialty Clinic/Center
  • Northport, AL
  • NPI 1275926719
  NPD
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552
  NPD (past)
• Harrison County Hospital

  • Obstetrics & Gynecology Physician
  • Georgetown, IN
  • NPI 1396439840
  NPD (past)
• Harrison County Hospital

  • Family Medicine Physician
  • Corydon, IN
  • NPI 1760598049
  NPD (past)
• DRH Medical Group

  • Urgent Care Clinic/Center
  • Oakland, CA
  • NPI 1790560225
  NPD (past)
• Hendersons Minor Outpatient Medicine, LLC

  • Family Medicine Physician
  • Henderson, KY
  • NPI 1811947070
  NPD (past)
• Kentucky Emergency Medicine Physicians PLLC

  • Emergency Medicine Physician
  • Henderson, KY
  • NPI 1477548048
  NPD (past)

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

• Compassus of Indiana I, LLC

  • Community Based Hospice Care Agency
  • Evansville, IN
  • NPI 1730751421
  Care Compare affiliation
• Harrison County Hospital

  • Ambulance
  • Corydon, IN
  • NPI 1073620001

  Hospital

  Care Compare affiliation
• Harrison County Hospital

  • General Acute Care Hospital
  • Corydon, IN
  • NPI 1427165455
  Care Compare affiliation
• Harrison County Hospital

  • Ambulance
  • Corydon, IN
  • NPI 1760599468

  Hospital

  Care Compare affiliation
• Harrison County Hospital

  • Critical Access Hospital
  • Corydon, IN
  • NPI 1851378137
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1184723975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-858-9400",
            "fax_number": "812-858-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308925",
            "telephone_number": "812-858-9400",
            "fax_number": "812-858-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000521187",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Haaff
• Kimberly K. Haerle, M.ED
• Elizabeth Hagan
• Tamara Hagedorn, RBT
• Jennifer Hall, N.P.
• Mariah Hall, MS, CCC-SLP
• Scarlett Hall, RBT
• Jeffrey L Hallett, MD
• Allison Hamby
• Huda Hassan Hamed

• Family Medicine Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.

Verify at the official NPI Registry.