Individual provider Active NPI

Teresa Hall, D.O.

  • Orthopaedic Surgery Physician
  • Holland, MI
National Provider Identifier
1548611338
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101022220 Issued in MI
Practice address
370 120TH Ave
Holland, MI 49424-2120
Phone
(616) 396-5855
Fax
(877) 592-0688
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101026444 MI
Orthopaedic Surgery Physician 207X00000X 5101022220 MI Primary

Addresses

Primary practice location

370 120TH Ave
Holland, MI 49424-2120

Mailing address

370 120TH Ave
Holland, MI 49424-2120
Phone (616) 396-5855

Other practice location 1

8251 Westpark Way
Zeeland, MI 49464-7903
Phone (616) 385-5855

Other practice location 2

3509 Kelly St
Hudsonville, MI 49426-1407
Phone (616) 396-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411002534 MI Practitioner - Orthopedic Surgery 2264728195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

370 N 120TH Ave
Suite 20
Holland, MI 49424-2196
Phone (616) 396-5855

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022220MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Orthopaedic & Sports Medicine Clinic,PLC Orthopaedic Surgery CurrentSince Aug 10, 2025 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Shoreline Orthopaedic & Sports Medicine Clinic P L C Orthopaedic Surgery CurrentSince Aug 10, 2025 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients

Locations

370 N 120th Ave
Ste 20
Holland, MI 49424
Phone (616) 396-5855

370 N 120th Ave
Holland, MI 49424
Phone (616) 396-5855

3509 Kelly St
Hudsonville, MI 49426
Phone (616) 396-5855

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

8251 Westpark Way
Zeeland, MI 49464
Phone (616) 355-3930

Interoperability endpoints

  • Direct secure messaging: teresa.hall@sosmc.eclinicaldirectplus.com
  • Direct secure messaging: thall126732@mymichiganhealth.midirect.net

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1548611338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8251 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494647903",
            "country_code": "US",
            "telephone_number": "616-385-5855",
            "fax_number": "877-592-0688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 Kelly St",
            "address_purpose": "LOCATION",
            "city": "Hudsonville",
            "state": "MI",
            "postal_code": "494261407",
            "country_code": "US",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101026444",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101022220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.