Active NPI
Christopher P Hall, M.D.
- Pediatrics Physician
- Walla Walla, WA
National Provider Identifier
1508830738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00040413
- Practice address
- 55 W Tietan St
Walla Walla, WA 99362-4445 - Phone
- (509) 525-3720
- Fax
- (509) 522-1592
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00040413 | WA | Primary |
Addresses
Primary practice location
55 W Tietan St
Walla Walla, WA 99362-4445
Mailing address
55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 525-3720
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8292153 | Medicaid | WA | |
| 152802 | Other | WA | L&I |
| 262474 | Medicaid | OR | |
| 370020541 | Other | WA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00040413 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1508830738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W TIETAN ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624445",
"telephone_number": "509-525-3720",
"fax_number": "509-522-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W TIETAN ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624445",
"telephone_number": "509-525-3720",
"fax_number": "509-522-1592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHRISTOPHER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00040413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8292153",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "152802",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262474",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "370020541",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.