Hall & Hall Dermatology Associates PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

09283 Issued in WV

Legal business name

HALL & HALL DERMATOLOGY ASSOCIATES PLLC

Practice address

400 Drummond Street
Morgantown, WV 26505-3320

Phone

(304) 599-5672

Fax

(304) 599-5677

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

William Lloyd Hall, MD

Title

Practice Manager Partner

Phone

(304) 599-5672

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Hall & Hall Dermatoloy Associates LP Other name

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841402534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DRUMMOND STREET",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053320",
            "telephone_number": "304-599-5672",
            "fax_number": "304-599-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DRUMMOND STREET",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053320",
            "telephone_number": "304-599-5672",
            "fax_number": "304-599-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL & HALL DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRACTICE MANAGER PARTNER",
        "authorized_official_telephone_number": "304-599-5672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "WV",
            "license": "20379",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "WV",
            "license": "09283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001712123",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004674000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004673000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000153677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall & Hall Dermatoloy Associates LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cyrus James Hajiran, MD
• Mirela I. Halasz, MD
• Diane A Halbritter, MSW
• Kevin A Halbritter, M. D.
• Bernice Haley
• Barbara Hall
• Cheyenne Hall, PHARMD
• David M Hall, M.D.
• Hailey Michelle Hall, FNP-BC
• Lauren Hall

• Dermatology Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.