Individual provider Active NPI

Alex Hall, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1245695139
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6295 Issued in AZ
Practice address
15830 N 35TH Ave Ste 1
Phoenix, AZ 85053-7640
Phone
(602) 298-1188
NPI assigned
Dec 21, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 6295 AZ Primary

Addresses

Primary practice location

15830 N 35TH Ave Ste 1
Phoenix, AZ 85053-7640

Mailing address

15830 N 35TH Ave Ste 1
Phoenix, AZ 85053-7640
Phone (602) 298-1188

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127001358 AZ Practitioner - Physician Assistant 5698189942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1110 E Route 66
Suite 100
Flagstaff, AZ 86001-4772
Phone (928) 773-9695

1818 E Sky Harbor Cir N
Suite 150
Phoenix, AZ 85034-3410
Phone (602) 244-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Jan 30, 2021 Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

1818 E Sky Harbor Cir N
Ste 150
Phoenix, AZ 85034
Phone (602) 244-9500

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1245695139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537640",
            "telephone_number": "602-298-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537640",
            "telephone_number": "602-298-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALEX",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.