Darrell Andre Hall, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OH 350 72948 Issued in OH

Practice address

30 S Byrne Rd
Toledo, OH 43615-6211

Phone

(419) 531-3300

Fax

(419) 531-2827

NPI assigned

Oct 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Edm Health Services LLC

  • Ph.D. Medical Genetics
  • Toledo, OH
  • NPI 1942423298
  NPD (past) Authorized official
• Northwest Ohio Emergency Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1407992902
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356430557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156211",
            "telephone_number": "419-531-3300",
            "fax_number": "419-531-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156211",
            "telephone_number": "419-531-3300",
            "fax_number": "419-531-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DARRELL",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH 350 72948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antiago D Hall
• Baylee Hall, LPN
• Brooke Lee Hall
• Brooklyn Javon Hall
• Candice Hall, BSW, LSW
• Gavin Hall
• Jennifer Lynn Hall, LMT
• Jeremiah Hall
• Jeremy Hall
• Kelsey Loraine Hall, RDN, LD

• Family Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.