Organization Active NPI

Ryan C. W. Hall, MD, PA

  • Psychiatry Physician
  • Lake Mary, FL
National Provider Identifier
1629051941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0014470 Issued in FL
Legal business name
RYAN C. W. HALL, MD, PA
Practice address
2500 W Lake Mary Blvd Ste 219
Lake Mary, FL 32746-3501
Phone
(407) 322-8199
Fax
(407) 322-8169
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Ryan Chaloner Winton Hall, MDNPI 1144376393
Title
President
Phone
(407) 322-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME0014470 FL Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 013895 GA

Addresses

Primary practice location

2500 W Lake Mary Blvd Ste 219
Lake Mary, FL 32746-3501

Mailing address

2500 W Lake Mary Blvd Ste 219
Lake Mary, FL 32746-3501
Phone (407) 322-8199

Other names 1

  • Richard CW. Hall, M.D, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

2500 W Lake Mary Blvd
Ste 219
Lake Mary, FL 32746
Phone (407) 322-8199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629051941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD STE 219",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-322-8199",
            "fax_number": "407-322-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD STE 219",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-322-8199",
            "fax_number": "407-322-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C. W. HALL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHALONER WINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-322-8199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0014470",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "013895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard CW. Hall, M.D, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.