Thomas Lathrop Hall, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G 45752 Issued in CA

Practice address

4125 Bangs Ave
Modesto, CA 95356-8713

Phone

(209) 735-6120

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770570814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577680",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577680",
            "telephone_number": "209-735-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BANGS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568713",
            "telephone_number": "209-735-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "THOMAS",
        "middle_name": "LATHROP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G 45752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Grey Hall, O.D.
• Janitha Hall
• Judy Garland Hall
• Ryann June Hall
• Thomas Arnold Hall, PH.D.
• Tommie Keith Hall II
• Malissa Hallahan
• Amayah Tiann Hallam
• Nathan Hallam, PA
• Sarah Hallberg, PTA

• Dermatology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.