Active NPI
Glennis R.M. Hall, M.D.
- Anesthesiology Physician
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD055770L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001546932 | Medicaid | PA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD055770L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Pinnacle Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Current | 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.
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
-
- Anesthesiology Physician
- Huntingdon Valley, PA
- NPI 1073571485
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.