Elizabeth O'Briant Hall, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003212 Issued in VA

Practice address

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014

Phone

(540) 982-8204

Fax

(540) 224-1059

NPI assigned

Jun 25, 2007

Last updated

May 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncology and Hematology Associates of Southwest Virginia IncGroup PAC ID 8628053006, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.hall@brcc.ikm.direct-ci.com

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.

• Oncology and Hematology Associates of Southwest Virginia, Inc.

  dba Blue Ridge Cancer Care

  • Hematology & Oncology Physician
  • Roanoke, VA
  • NPI 1487621496
  Medicare reassignment Care Compare group
• Oncology and Hematology Associates of Southwest Virginia, Inc.

  dba Blue Ridge Cancer Care Specialty Pharmacy

  • Community/Retail Pharmacy
  • Roanoke, VA
  • NPI 1649035106
  NPD
• Lewis Gale Physicians LLC

  • Internal Medicine Physician
  • Salem, VA
  • NPI 1902977705
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1811193998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW STE 203",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142465",
            "telephone_number": "540-982-8204",
            "fax_number": "540-224-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW STE 203",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-982-8204",
            "fax_number": "540-224-1059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 McClanahan St SW",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141728",
            "country_code": "US",
            "telephone_number": "540-982-8204",
            "fax_number": "540-342-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELIZABETH",
        "middle_name": "O'BRIANT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102712",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Keith Haley
• Carolyn Denise Haliburton, RN
• Hall Community Services Inc
• Aaron Matthew Hall, PHARMD
• Brianna Lynn Hall, BS
• Jennifer Hall
• Julianne Hall
• Kent Michael Hall, M.D.
• Madeleine Hall, CPM, LM
• Samantha Milton Hall

• Medical Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.