Active NPI
William Hall, MD
- Family Medicine Physician
- New Hartford, NY
National Provider Identifier
1194819862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 139956
- Practice address
- 3946 Oneida St.
New Hartford, NY 13413 - Phone
- (315) 624-8300
- Fax
- (315) 624-5152
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 139956 | NY | Primary |
Addresses
Primary practice location
3946 Oneida St.
New Hartford, NY 13413
Mailing address
8 Devereux Lane
Whitesboro, NY 13492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139956 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1194819862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 DEVEREUX LANE",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "13492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3946 ONEIDA ST.",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "13413",
"telephone_number": "315-624-8300",
"fax_number": "315-624-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "139956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139956",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.