Susan Delaine Hall, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03733 Issued in TX

Practice address

3901 N Navarro St
Victoria, TX 77901-2622

Phone

(361) 573-0713

Fax

(361) 575-2215

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Robert E. Harvey, MD, PA

  • Allergy & Immunology Physician
  • Victoria, TX
  • NPI 1194701318
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Linda O. Wilson M.D. P.a.

  • Specialist
  • Victoria, TX
  • NPI 1093757569
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1699718429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012622",
            "telephone_number": "361-573-0713",
            "fax_number": "361-575-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012622",
            "telephone_number": "361-573-0713",
            "fax_number": "361-575-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "DELAINE",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8Y3479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Hagan, C.R.N.A.
• Lisa Marie Hagan, R.D., L.D.
• Jennifer Marie Hahn, LVN
• Valerie E Hahn, APRN, FNP-C
• Samuel R Haliburton, APRN, FNP-BC
• Hamilton County Hospital District
• Kathleen G Hamilton, O.D.
• Sean Michael Hamilton, M.D.
• Brendan Joseph Hammack, RN
• Cindy Hampton

• Physician Assistant in Victoria, TX
• Providers in Victoria, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.