Marvin Douglas Hall Jr., CFA CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA310 Issued in KY

Practice address

501 Darby Creek Rd
Lexington, KY 40509-1604

Phone

(859) 967-5715

NPI assigned

Dec 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Center for Plastic Surgery PSC

  • Specialist
  • Lexington, KY
  • NPI 1073713160
  NPD (past)

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513382400000",
    "number": "1679089460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 TATESBROOK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172991",
            "telephone_number": "859-333-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-967-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARVIN",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "credential": "CFA CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-16",
        "last_updated": "2017-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Hall
• Lora Tevis Hall, BCBA, LBA
• Lori Nicole Hall
• Madelyn R Hall, CRNA
• Madonna J. Hall, D.O.
• Mary Ann Hall, APRN
• Matthew Hall, RRT
• Matthew Thomas Hall, MD
• Megan Kelly Hall
• Melissa Hall, M.S.

• Surgical Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2017; 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.