Roger Charles Hall, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

009795 Issued in ME

Practice address

89 Hospital St
Suite 1
Augusta, ME 04330-6651

Phone

(207) 622-6193

Fax

(207) 621-0602

NPI assigned

Mar 15, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265566145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HANNAFORD HILL RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049894217",
            "telephone_number": "207-622-6193",
            "fax_number": "207-621-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL ST",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306651",
            "telephone_number": "207-622-6193",
            "fax_number": "207-621-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROGER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "009795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127260000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Coleman Hackett, LCSW
• Christopher John Hafner, PA-C
• Jonathan Benjamin Halevy, M.D.
• Ellie Hall, PHARMD
• Lauren Hall, DO
• Angela Hamann
• Jerold E Hambright, PH.D.
• Angela L Hamel, OTR/L
• Jason Hamel, DMD
• Daniel Floyd Hamilton, P.A.

• Family Medicine Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.