Active NPI
Connor Patrick Hall
- Pediatric Hematology & Oncology Physician
- Gaithersburg, MD
National Provider Identifier
1861853772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- D0087208
- Practice address
- 1 Medimmune Way
Gaithersburg, MD 20878-2204 - Phone
- (410) 955-2000
- NPI assigned
- Mar 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | D0087208 | MD | Primary |
Addresses
Primary practice location
1 Medimmune Way
Gaithersburg, MD 20878-2204
Mailing address
1 Medimmune Way
Gaithersburg, MD 20878-2204
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0087208 | MD | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702080000000",
"number": "1861853772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDIMMUNE WAY",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDIMMUNE WAY",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782204",
"telephone_number": "410-955-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CONNOR",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-19",
"last_updated": "2023-12-09",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MD",
"license": "D0087208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.