Individual provider Active NPI

Ryan Christopher Hall, M.D.

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1184944241
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25006 Issued in WV
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827000828 WV Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4183842594

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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

OrganizationSpecialtyStatusNew patients
Monongahela Valley Association of Health Centers, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Monongahela Valley Association of Health Centers, Inc CurrentSince Sep 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.