NPIMap

Individual provider Active NPI

Terry E. Hall, M.D.

  • General Practice Physician
  • Bethany, MO
National Provider Identifier
1508834409
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R6D52 Issued in MO
Practice address
2703 Miller St.
Bethany, MO 64424-0233
Phone
(660) 425-7443
Fax
(660) 425-6516
NPI assigned
Mar 8, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R6D52 MO Primary

Addresses

Primary practice location

2703 Miller St.
Bethany, MO 64424-0233

Mailing address

PO Box 233
Bethany, MO 64424-0233
Phone (660) 425-7443

Other identifiers 1

IdentifierTypeStateIssuer
202510608MedicaidMO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Urology of St. Joseph, Inc. Past Accepting new patients
Terry E. Hall PastSince Jul 15, 2001 Accepting new patients
Harrison County Health Department & Harrison County Home Health Past Accepting new patients
Terry E. Hall, M.D PastSince Jul 15, 2001 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1508834409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644240233",
            "telephone_number": "660-425-7443",
            "fax_number": "660-425-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 MILLER ST.",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644240233",
            "telephone_number": "660-425-7443",
            "fax_number": "660-425-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TERRY",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R6D52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202510608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.