Thomas Robert Hall, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

01026872 Issued in IN

Practice address

2206 Roosevelt Rd
Suite a
Valparaiso, IN 46383-2749

Phone

(219) 464-9507

Fax

(219) 477-4690

NPI assigned

Feb 2, 2006

Last updated

Oct 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Digestive Healthcare Associates, P.C.

  • Gastroenterology Physician
  • Valparaiso, IN
  • NPI 1144325614
  NPD Authorized official

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1568434959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 ROOSEVELT RD",
            "address_2": "SUITE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832749",
            "telephone_number": "219-464-9507",
            "fax_number": "219-477-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 ROOSEVELT RD",
            "address_2": "SUITE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832749",
            "telephone_number": "219-464-9507",
            "fax_number": "219-477-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01026872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basel Hajjar, DDS
• Brittney Hall
• Lacey Hall, R.D.
• Megan Nicole Hall, FNP-C
• Samantha Hall, BCBA
• Heather Joyce Hammond, D.C.
• Amanda Hamrick
• Christopher Lane Hamrick, LMFT
• Monica Hanchar, B.S., COTA/L
• Hancock Regional Hospital (Avalon Springs Health Campus)

• Gastroenterology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.