John W. Hall, MD, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JOHN W. HALL, MD, LLC

Practice address

30 Chase Ave
Waterville, ME 04901-4624

Phone

(207) 872-4400

Fax

(207) 872-4621

NPI assigned

Nov 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Hall, MDNPI 1386625572

Title

Owner

Phone

(207) 872-4400

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John W. Hall, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Scarborough, ME
  • NPI 1386625572
  NPD (past) Authorized official
• Genevieve Hall, MD

  • Physical Medicine & Rehabilitation Physician
  • Waterville, ME
  • NPI 1194706317
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639150816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049031898",
            "telephone_number": "207-872-4400",
            "fax_number": "207-872-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CHASE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014624",
            "telephone_number": "207-872-4400",
            "fax_number": "207-872-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. HALL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-872-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Janerico
• Jeanette Ross
• Carolann Marie Jenkins, MS OT R/L
• Jeremy Stewart
• Andrea Jergesen
• Andrea Lee Johnson
• Eric Dean Johnson, PHARMD
• Michele Jolicoeur
• Michelle Renee Jolicoeur, LCSW
• Carol L Jollotta, LCSW

• Physical Medicine & Rehabilitation Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Physical Medicine & Rehabilitation Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.