Active NPI
Alex Hall, PA-C
- Surgical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 6295
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Arizona PA | Current | 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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1780873307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.