Timothy J Hall, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001238 Issued in NY

Practice address

3 Care Lane
Saratoga Springs, NY 12211

Phone

(518) 682-2240

Fax

(518) 682-2243

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sand Creek Medical PC

  • Specialist
  • Albany, NY
  • NPI 1275624900
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1669400206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-463-0171",
            "fax_number": "578-463-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARE LANE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-682-2240",
            "fax_number": "518-682-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "0012381",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Hague, MSOTR/L
• Hal Fletcher Starnes Jr.
• Samuel John Halajian, PA-C
• Beth Ann Halburian
• Elizabeth Hall, LMHC
• Michelle Haller, P.T.
• Joanne Clara Halloran, N.D.
• Alison A Halpin, O.D.
• Susan E Halstead, OPTICIAN
• Catelyn Halusic-Smith, D.O.

• Physician Assistant in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.