Active NPI
Jared Aaron Hall, DPM
- Foot & Ankle Surgery Podiatrist
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0667
- Practice address
- 4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827 - Phone
- (928) 537-6700
- Fax
- (928) 532-2169
- NPI assigned
- Oct 3, 2007
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0667 | AZ | Primary |
Addresses
Primary practice location
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-6393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271532 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Lee St
Winslow, AZ 86047-2603
Phone (928) 289-3396
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0667 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Jared a Hall DPM PC | Current | Accepting new patients |
Locations
1500 E Woolford Rd
Ste 101
Show Low, AZ 85901
Phone (928) 251-2030
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
200 Lee St
Winslow, AZ 86047
Phone (928) 226-6400
1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396
Organizations & group practices 3
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 Little Colorado Medical Center
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Durable Medical Equipment & Medical Supplies
- Show Low, AZ
- NPI 1821519018
-
dba Little Colorado Physicians Office
- General Practice Physician
- Winslow, AZ
- NPI 1538321674
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Little Colorado Medical Center
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1225225261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 E SHOW LOW LAKE RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017831",
"telephone_number": "928-537-6393",
"fax_number": "928-532-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017827",
"telephone_number": "928-537-6700",
"fax_number": "928-532-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JARED",
"middle_name": "AARON",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271532",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.