Active NPI
John R Hall, D.O.
- Pain Medicine (Anesthesiology) Physician
- San Antonio, TX
National Provider Identifier
1639152416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- J4179
- Practice address
- 9150 Huebner Rd Ste 290
San Antonio, TX 78240 - Phone
- (210) 614-6432
- Fax
- (210) 615-3586
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J4179 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | J4179 | TX | Primary |
Addresses
Primary practice location
9150 Huebner Rd Ste 290
San Antonio, TX 78240
Mailing address
18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228
Phone (210) 495-9047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122147505 | Medicaid | TX |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4179 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Anesthesia, PA. | Anesthesiology | Past | Accepting new patients |
| Mark a. Melish, M.D., P.a. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1437254547
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1568478378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1639152416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18626 HARDY OAK BLVD STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584228",
"telephone_number": "210-495-9047",
"fax_number": "210-293-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD STE 290",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-614-6432",
"fax_number": "210-615-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J4179",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "J4179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122147505",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.