Dana P. Hall, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11167 Issued in RI

Practice address

300 Jefferson Blvd
Suite# 305
Warwick, RI 02888-3888

Phone

(401) 739-7546

Fax

(401) 739-7544

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Dermatology

Education

Loyola University of Chicago, Stritch School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ocean State Dermatology, Inc

  dba Ocean State Dermatology

  • Dermatology Physician
  • Warwick, RI
  • NPI 1780024687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1245298553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFERSON BLVD",
            "address_2": "SUITE# 305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883888",
            "telephone_number": "401-739-7546",
            "fax_number": "401-739-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JEFFERSON BLVD",
            "address_2": "SUITE# 305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883888",
            "telephone_number": "401-739-7546",
            "fax_number": "401-739-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DANA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "11167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "007057497",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9024192",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN- INDIVIDUAL",
            "identifier": "079024192",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Robert Hacker, OD
• Edmund T Hackman, Jr., OD
• Antoine F O Hadamard, MD
• Ryan Halabi, MD, MBA
• Halcyon at West Bay, LLC
• Whitney Ann Hall, ACDP, LCDP, BSW
• Mark Anthony Hallett, COTA/L
• Stacy Nadine Haltaufderhyde
• Lori Ann Halterman, PMHNP
• Cristina Hamacher, DO

• Dermatology Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Dermatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.