Active NPI
Otto Christian Hall, D.P.M.
- Podiatrist
- Baton Rouge, LA
National Provider Identifier
1679579759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPMLPD027R
- Practice address
- 7301 Hennessy Blvd
#200
Baton Rouge, LA 70808 - Phone
- (225) 766-0050
- Fax
- (225) 766-1499
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | LPD027R | LA | |
| Podiatrist | 213E00000X | DPMLPD027R | LA | Primary |
Addresses
Primary practice location
7301 Hennessy Blvd
#200
Baton Rouge, LA 70808
Mailing address
P.O. Box 98035
Baton Rouge, LA 70898
Phone (225) 766-0050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06461 | Other | LA | BLUE CROSS / BLUE SHEILD |
| 1365661 | Medicaid | LA | |
| 13656612 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPMLPD027R | LA | MD | Podiatrist |
| LPD027R | LA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O C Hall DPM LTD | Past | Accepting new patients | |
| Baton Rouge Orthopaedic Clinic, LLC | 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.
-
- Orthopaedic Surgery Physician
- Baton Rouge, LA
- NPI 1770503690
-
- Podiatric Clinic/Center
- Baton Rouge, LA
- NPI 1891963674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1679579759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 98035",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70898",
"telephone_number": "225-766-0050",
"fax_number": "225-766-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 HENNESSY BLVD",
"address_2": "#200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70808",
"telephone_number": "225-766-0050",
"fax_number": "225-766-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "OTTO",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "LA",
"license": "LPD027R",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "DPMLPD027R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHEILD",
"identifier": "06461",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1365661",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13656612",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.