Active NPI
Pamela Elizabeth Hall, MD
- Family Medicine Physician
- Deltona, FL
National Provider Identifier
1255412466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME45027
- Practice address
- 820 Deltona Blvd
Suite a
Deltona, FL 32725-7177 - Phone
- (386) 860-4545
- Fax
- (386) 860-5632
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 | ME45027 | FL | Primary |
Addresses
Primary practice location
820 Deltona Blvd
Suite a
Deltona, FL 32725-7177
Mailing address
820 Deltona Blvd
Suite a
Deltona, FL 32725-7177
Phone (386) 860-4545
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05544 | Other | FL | BC BS OF FLORIDA |
| 046338800 | Medicaid | FL | |
| 080068214 | Other | PALMETTO GBA MEDICARE RAI |
Other names 1
- Ms. Pamela Pearson Hall
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME45027 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1255412466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 DELTONA BLVD",
"address_2": "SUITE A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327257177",
"telephone_number": "386-860-4545",
"fax_number": "386-860-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 DELTONA BLVD",
"address_2": "SUITE A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327257177",
"telephone_number": "386-860-4545",
"fax_number": "386-860-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PAMELA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME45027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF FLORIDA",
"identifier": "05544",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046338800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE RAI",
"identifier": "080068214",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HALL",
"middle_name": "PEARSON",
"prefix": "MS.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.