John Patrick Hall III, MD
Individual provider Active NPI Emergency Medicine Physician · Wright Pat, OH
NPI 1457053514 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1457053514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35.152371 (OH)
- Practice address
- 4881 Sugar Maple Dr
Wright Pat, OH 45433-5529 - Phone
- (843) 817-8805
- NPI assigned
- Mar 21, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230512001775 | OH | Order and Referring Only - Emergency Medicine |
2860858057 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.152371 | OH | Yes |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wright Pat, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone (843) 817-8805
Other providers in Wright Pat, OH
- Nicholas C Coyne
- Flordeliza Dimaliwat Goleta
- Nancy Kay Gouveia
- Maggie Mae Granatir
- Hattie Nicole Greer
- Joshua Andrew Hamilton
- Aaron Jumper
- David K Kaffenberger
- Tassawwar Ahmad Khan
- Peter Seongmin Kim
All providers in Wright Pat, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.