S a Hall M D PA
Organization Active NPI Family Medicine Physician · Helena, AR
NPI 1497724314 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1497724314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- S A HALL M D PA
- Practice address
- 812 Newman Dr
Suite B
Helena, AR 72342-8950 - Phone
- (870) 338-8308
- Fax
- (870) 338-7702
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Catlett
- Title
- Business Manager
- Phone
- (870) 338-8308
Practitioners 3
-
Leigh Ann Guest, APN, GNP
-
Scott Alan Hall, M.D.
-
Monica Shea Martin, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090904000259 | AR | Part B Supplier - Clinic/Group Practice | 9931254497 |
Receives reassigned benefits from 3 practitioners Practice locations: Helena, AR |
National Provider Directory
Locations
812 Newman Dr
#B
Helena, AR 72342
Phone (870) 338-3808
812B Newman Dr
Helena, AR 72342
Phone (501) 338-7401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
812 Newman Dr
Suite B
Helena, AR 72342-8950
Mailing address
PO Box 769
Helena, AR 72342-0769
Phone (870) 338-8308
Other names
- cypert ridge family practice clinic
Other providers in Helena, AR
- Geneva Haile Robinson
- Jatoria Rogers
- Shemika Rose
- Kashena Ross
- Emily Russell
- Amy Galloway Saia
- Kayla M Sanders
- Morgan Scoggins
- Deyana Shears
- Latongila S Shepard
All providers in Helena, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.