John M Hall, M.D. PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN M HALL, M.D. PSC

Practice address

218 N Court St
Scottsville, KY 42164-1434

Phone

(270) 237-3351

Fax

(270) 237-9091

NPI assigned

May 21, 2008

Organization subpart

No

Name

John M Hall, M.D.

Title

Owner

Phone

(270) 237-3351

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2010.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1922265487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2560",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421022560",
            "telephone_number": "270-745-1467",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N COURT ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641434",
            "telephone_number": "270-237-3351",
            "fax_number": "270-237-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M HALL, M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-237-3351",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65911836",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PREFERRED",
            "identifier": "000000047524",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Tabor Jessie, APRN
• Johnson Dental Associates, PLLS
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• Shelley Elizabeth Jones, CSFA
• Elizabeth Ann Keown, R.PH.
• Phallin Jade Key

• All providers in Scottsville, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.