GLENN M HALL JR. (NPI# 1104072230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104072230 |
| Entity Type | Individual |
| Full Name | GLENN M HALL JR. |
| Credential | M.D. |
| Practice Address |
5324 Niagara Ln Perrysburg OH 43551-7172 |
| Practice Telephone | 6179055969 |
| Mailing Telephone | 6179055969 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35127088 | OH | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 4301116458 | MI | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 35127088 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0144666 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 Kimole Ln Ste 220, Adrian, MI 492211400 | 5172636464 | 5172638223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449154 | Glenn Wallace Hall | Pharmacist | 915 Village Ct, Santa Rosa, CA 95405-6759 | 2020-08-28 |
| 1356703714 | Glenn Hall | Counselor | 25 Ikea Dr, Westampton, NJ 08060-5115 | 2016-03-24 |
| 1699797753 | Glenn Leon Hall | Specialist | 460 Greenfield Ave Ste 4, Hanford, CA 93230-3500 | 2006-07-24 |
| Street Address |
5324 NIAGARA LN |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-7172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932592102 | Erman Aytac | Colon & Rectal Surgery | A30-234 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2015-03-12 |
| 1609284850 | Sameer Memon | Colon & Rectal Surgery | 3353 Hollister Rd, Cleveland, OH 44118-1325 | 2014-07-31 |
| 1134547151 | Kellen Welch | Colon & Rectal Surgery | 55 Arch St Ste 2a, Akron, OH 44304-1424 | 2014-04-07 |
| 1659616373 | Summa Physicians Inc | Colon & Rectal Surgery | 95 Arch St Ste 115, Akron, OH 44304-1466 | 2012-12-06 |
| 1619282290 | Sean Martin | Colon & Rectal Surgery | 1924 E 86th St, Cleveland, OH 44106-2021 | 2010-08-08 |
| 1932373446 | Myles Richard Joyce | Colon & Rectal Surgery | 9500 Euclid Ave # A30, Cleveland, Cleveland, OH 44195-0001 | 2008-04-15 |
| 1780855965 | Chucheep Sahakitrungruang | Colon & Rectal Surgery | 9500 Euclid Ave Department of Colorectal Surgery A30, The Cleveland Clinic Foundation, Cleveland, OH 44195 | 2008-03-17 |
| 1982753067 | Jack D. Selzer, M.d. and Associates Inc | Colon & Rectal Surgery | 10495 Montgomery Rd Ste 26, Cincinnati, OH 45242-4420 | 2007-01-09 |
| 1851467492 | Colon & Rectal Surgery Inc | Colon & Rectal Surgery | 5965 East Broad St, #200, Columbus, OH 43213 | 2006-11-27 |
| 1124136205 | Steven Joseph Werling | Colon & Rectal Surgery | 1301 E Ash St, Suite C, Piqua, OH 45356 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.