Leigh S Hall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G25946 Issued in CA

Practice address

625 5TH St
Santa Rosa, CA 95404-4428

Phone

(707) 565-4599

Fax

(707) 565-4411

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366515173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 GIBSON ST.",
            "address_2": "BOX 421",
            "city": "GLEN ELLEN",
            "state": "CA",
            "postal_code": "954420421",
            "telephone_number": "707-565-4599",
            "fax_number": "707-565-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 5TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044428",
            "telephone_number": "707-565-4599",
            "fax_number": "707-565-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LEIGH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G25946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Ingalls Hall, O.D.
• Diego Paris Hall, LMFT
• Glenn Wallace Hall, RPH
• Jason Robert Hall, MSPT
• Kris Hall, MFT
• Maxine L. Hall, MFT
• Molly Hall, OTR
• Patricia K Hall, RPT
• Paula B Hall, PSYD, MFT
• Rima Jay Hall

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.