Active NPI
Steven Hall, M.D.
- Family Medicine Physician
- Harrodsburg, KY
National Provider Identifier
1609868033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33004
- Practice address
- 466 Linden Ave
Harrodsburg, KY 40330-1841 - Phone
- (859) 734-5173
- Fax
- (859) 734-9925
- NPI assigned
- Aug 22, 2005
- Last updated
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33004 | KY | Primary |
Addresses
Primary practice location
466 Linden Ave
Harrodsburg, KY 40330-1841
Mailing address
466 Linden Ave
Harrodsburg, KY 40330-1841
Phone (859) 734-5173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65922130 | Medicaid | KY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33004 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1609868033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 LINDEN AVE",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403301841",
"telephone_number": "859-734-5173",
"fax_number": "859-734-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 LINDEN AVE",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403301841",
"telephone_number": "859-734-5173",
"fax_number": "859-734-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "33004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65922130",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrodsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.