Pamela Candace Hale, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA061789 Issued in NJ

Practice address

215 Dayton St Apt 1
Yellow Springs, OH 45387-1703

Phone

(937) 689-6096

NPI assigned

Mar 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295853141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DAYTON ST APT 1",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871703",
            "telephone_number": "937-689-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DAYTON ST APT 1",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871703",
            "telephone_number": "937-689-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2271 Route 33 Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086901749",
            "country_code": "US",
            "telephone_number": "609-267-8384",
            "fax_number": "609-267-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "PAMELA",
        "middle_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA061789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Gruber, M.S., PCC-S
• Erika Coleman Grushon, D.C.
• Brandee Guice, MOT, OTR/L
• Dane Gustafson
• Patricia J Gustafson
• Brianna Durnin Hanson
• Jeffrey Alan Hardy
• Gina Hartman, MSW
• Healthy Hearts Nutrition LLC
• Bruce Edward Heckman, PH.D.

• All providers in Yellow Springs, OH
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.