Jeffrey W Hall, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

H6266 Issued in TX

Practice address

300 Beardsley LN
BLDG C., Suite 101
Austin, TX 78746-4945

Phone

(512) 302-5558

Fax

(512) 302-1216

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1316093347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "BLDG. C., SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-302-5558",
            "fax_number": "512-302-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "BLDG C., SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-302-5558",
            "fax_number": "512-302-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H6266",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "H6266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R. Hall, LCSW
• Dennis Dwain Hall, L.C.D.C.
• Elyse Hall, LPC-ASSOCIATE
• Erin Hall
• Jacey Hall
• Jeffrey Wayne Hall, D.C
• John C Hall, M.D.
• Jon Scott Hall, L.C.S.W.
• Kate Hall
• Katherine Elizabeth Hall, RD LD

• Plastic and Reconstructive Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.