GEORGE SCOTT HALL SR. (NPI# 1104394857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104394857 |
Entity Type | Individual |
Full Name | GEORGE SCOTT HALL SR. |
Credential | MD |
Practice Address |
9 Marsh Creek Rd Fernandina Beach FL 32034-6413 |
Practice Telephone | 9042778031 |
Mailing Telephone | 9042778031 |
Enumeration Date | 2018-11-09 |
Last Update Date | 2018-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
18797 | KY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
9 Marsh Creek Rd, Amelia Island, FL 320346413 | 9042778031 | |
9 Marsh Creek Rd, Fernandina Beach, FL 320346413 | 9042778031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497091136 | George Hall | Social Worker | 317 Exton Cmns, Council for Relationships-exton Office, Exton, PA 19341-2450 | 2012-12-28 |
1447545975 | George Albert Hall | Dentist | 315 Whitecrest Drive, Maryville, TN 37801-3889 | 2011-06-13 |
1669609814 | George Samuel Hall | Counselor | 135 Whitley Ln, Portsmouth, OH 45662-8719 | 2009-06-15 |
1780825620 | George Eugene Hall Jr. | Physical Therapy Assistant | 222 Haywood Knolls Dr, Hendersonville, NC 28791-8717 | 2009-03-23 |
1639171143 | George Hall | Internal Medicine | 241 Canal St, Suite 402, New York, NY 10013-4118 | 2005-08-15 |
1588177653 | George Lindsey Hall | Counselor | 411 Chandler St, Worcester, MA 01602-3339 | 2017-11-13 |
1033532924 | George Hall | Counselor | 4801 N Classen Blvd, Oklahoma City, OK 73118-4627 | 2014-01-28 |
1518149277 | George D Hall | Family Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2007-12-04 |
1891819330 | George Timothy Hall | Counselor | 3750 Meadow View Rd, Lumberton, NC 28358-1920 | 2007-03-19 |
1063522555 | George Jeffrey Hall | Physician Assistant | 17 Lansing St, Auburn, NY 13021-1983 | 2006-08-30 |
Street Address |
9 MARSH CREEK RD |
City | FERNANDINA BEACH |
State | FL |
Zip Code | 32034-6413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
Find all providers in zip 32034 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
1528484516 | Rolando Sanchez | Surgery | 4039 W Kennedy Blvd, Tampa, FL 33609-2751 | 2014-03-14 |
Find all providers with the same taxonomy |
City | FERNANDINA BEACH |
Zip Code | 32034 |
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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.