Individual provider Active NPI

Luther Daniel Hall, DO

  • Family Medicine Physician
  • Ironton, OH
National Provider Identifier
1669470258
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.006774 Issued in OH
Practice address
120 N 3Rd St
Ironton, OH 45638-1574
Phone
(740) 532-7855
NPI assigned
Jul 8, 2005
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02433 KY
Family Medicine Physician 207Q00000X 34.006774 OH Primary

Addresses

Primary practice location

120 N 3Rd St
Ironton, OH 45638-1574

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858

Other identifiers 4

IdentifierTypeStateIssuer
000000191985OtherBLUE CROSS BLUE SHIELD
2051729MedicaidOH
64024334MedicaidKY
P00430602OtherKYMEDICARE - RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040804001462 OH Practitioner - Family Practice 3375514474 Reassigns benefits to 4 organizations
I20070926000595 KY Practitioner - Family Practice 3375514474

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironton and Lawrence County Area Community Action OrganizationGroup PAC ID 8820902497, shared by 8 NPIs, 17 clinicians

Practice addresses (Care Compare)

10777 County Rd
Suite 107
Proctorville, OH 45669-8130
Phone (740) 302-0541

120 N 3Rd St
Ironton, OH 45638-1574
Phone (740) 532-7855

1408 Campbell Dr
Suite 201
Ironton, OH 45638-2301
Phone (740) 534-9195

305 N 5TH St
Ironton, OH 45638-1578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02433KYMDFamily Medicine Physician
34.006774OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince May 1, 2018 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince May 1, 2018 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince May 1, 2018 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince May 1, 2018 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince May 1, 2018 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients

Locations

717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687

717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195

305 N 5th St
Ironton, OH 45638

13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1669470258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381574",
            "telephone_number": "740-532-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LUTHER",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.006774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000191985",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051729",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64024334",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RR",
            "identifier": "P00430602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.