Stephen E Hall, MD
Individual provider Active NPI Anesthesiology Physician · Elwood, IN
NPI 1962423780 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1962423780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01037054A (IN)
- Practice address
- 1331 S a St
Elwood, IN 46036 - Phone
- (765) 552-4838
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000278 | IN | Practitioner - Anesthesiology | 0042114811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037054A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Anesthesiologists, PC | Anesthesiology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01037054A | IN | Yes |
Addresses
Primary practice location
1331 S a St
Elwood, IN 46036
Mailing address
8051 S Emerson Ave Ste 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955
Other practice location 1
8051 S Emerson Ave Ste 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126810 | Medicaid | IN |
Other providers in Elwood, IN
- Marianne Goshorn
- Nanette L Gray
- Nevaeh Skye Greer
- Julie Marie Haig
- Christy M Hall
- Bradley L. Hayes
- Charla Jeanne Hazen
- Heavensent Psa LLC
- Robert James Helm
- Gabrielle Hernandez
All providers in Elwood, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.