Active NPI
Richard a. Hall, D.O., PLC
- Family Medicine Physician
- Cass City, MI
National Provider Identifier
1932375813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007053
- Legal business name
- RICHARD A. HALL, D.O., PLC
- Practice address
- 4674 Hill St
Cass City, MI 48726-1009 - Phone
- (989) 872-4725
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Hall, DO
- Title
- Owner
- Phone
- (989) 872-4725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007053 | MI | Primary |
Addresses
Primary practice location
4674 Hill St
Cass City, MI 48726-1009
Mailing address
4674 Hill St
Cass City, MI 48726-1009
Phone (989) 872-4725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4111993 | Medicaid | MI | |
| 5709132 | Other | MI | BLUE CARE NETWORK |
| 0857901324 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1932375813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 HILL ST",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261009",
"telephone_number": "989-872-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4674 HILL ST",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261009",
"telephone_number": "989-872-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A. HALL, D.O., PLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-872-4725",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4111993",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "5709132",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0857901324",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cass City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.