Active NPI
Ryan Christopher Hall, M.D.
- Internal Medicine Physician
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25006
- Practice address
- 1322 Locust Ave
Fairmont, WV 26554-1436 - Phone
- (304) 366-0700
- Fax
- (304) 366-9529
- NPI assigned
- Jun 10, 2010
- Last updated
- Jul 1, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25006 | WV | Primary |
Addresses
Primary practice location
1322 Locust Ave
Fairmont, WV 26554-1436
Mailing address
PO Box 1112
Fairmont, WV 26555-1112
Phone (304) 366-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140827000828 | WV | Practitioner - Internal Medicine | 4183842594 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 Jenness Hill Rd
Bristol, NH 03222-3807
PO Box
Suite 1112
Fairmont, WV 26555-1112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongahela Valley Association of Health Centers, Inc. | Current | Accepting new patients | |
| Monongahela Valley Association of Health Centers, Inc | Current | Accepting new patients |
Locations
1322 Locust Ave
Fairmont, WV 26554
Phone (304) 366-0700
1993 Airport Rd
Fairmont, WV 26554
Phone (304) 366-0700
1 North Marion Dr
Farmington, WV 26571
Phone (304) 986-2550
118 Market St
Mannington, WV 26582
Phone (304) 986-1750
1 Columbia Rd
Shinnston, WV 26431
Phone (304) 367-8710
Interoperability endpoints
- ryan.hall@mvahealth.directbygreenway.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MVA Fairmont Clinic
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1770697278
-
dba MVA Fairmont Clinic Pharmacy
- Clinic Pharmacy
- Fairmont, WV
- NPI 1609979673
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Care Partners Home Health
- Home Health Agency
- Westover, WV
- NPI 1497907281
-
dba Adoration Home Health
- Home Health Agency
- Morgantown, WV
- NPI 1215976592
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1184944241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1112",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265551112",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541436",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RYAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "25006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.