Individual provider Active NPI

Glennis R.M. Hall, M.D.

  • Anesthesiology Physician
  • Lansdale, PA
National Provider Identifier
1467410993
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD055770L Issued in PA
Practice address
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone
(215) 773-9564
Fax
(215) 773-9602
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD055770L PA Primary

Addresses

Primary practice location

100 Medical Campus Dr
Lansdale, PA 19446-1259

Mailing address

205 Newtown Rd
Suite 208
Warminster, PA 18974-5207
Phone (215) 773-9564

Other practice location 1

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118

Other identifiers 1

IdentifierTypeStateIssuer
001546932MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD055770LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Mar 4, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Mar 4, 2024 Accepting new patients
Tri County Anesthesia Associates, PC Anesthesiology Past Accepting new patients

Locations

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1 Executive Dr
Tinton Falls, NJ 07701
Phone (732) 212-1991

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1467410993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NEWTOWN RD",
            "address_2": "SUITE 208",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745207",
            "telephone_number": "215-773-9564",
            "fax_number": "215-773-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461259",
            "telephone_number": "215-773-9564",
            "fax_number": "215-773-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "GLENNIS",
        "middle_name": "R.M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD055770L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001546932",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.