Active NPI
Elizabeth Hall
- Pediatrics Physician
- Milwaukee, WI
National Provider Identifier
1619619541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 220642-30
- Practice address
- 8915 W Connell Ave
Milwaukee, WI 53226-3067 - Phone
- (414) 266-2000
- NPI assigned
- Apr 11, 2022
- Last updated
- Apr 11, 2022
- Sex
- Female
- 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 | 220642-30 | WI | Primary |
Addresses
Primary practice location
8915 W Connell Ave
Milwaukee, WI 53226-3067
Mailing address
4421 Hillside Rd
Waterford, WI 53185-3912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220642-30 | WI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1619619541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 HILLSIDE RD",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531853912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 W CONNELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263067",
"telephone_number": "414-266-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-11",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "220642-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.