DR. TIMOTHY ALLEN HALL (NPI# 1114921061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114921061 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ALLEN HALL |
| Credential | M.D. |
| Practice Address |
19550 E 39th St S Ste 300 Independence MO 64057-2303 |
| Practice Telephone | 8164780220 |
| Practice Fax Number | 8167953456 |
| Mailing Telephone | 8164780220 |
| Mailing Fax Number | 8167953456 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 102134 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203558218 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142026 | Timothy Michael Hall | Homemaker | 15347 Wheeler Rd, Lagrange, OH 44050-9707 | 2020-10-23 |
| 1639553407 | Timothy Hall | Marriage & Family Therapist | 120 Estaban Dr, Camarillo, CA 93010-1611 | 2015-07-12 |
| 1861653339 | Timothy O Hall | Specialist | 630 Southpointe Ct Ste 106, Colorado Springs, CO 80906-3800 | 2008-06-18 |
| 1710185368 | Timothy Shawn Hall | Counselor | 4643 Highway 899, Pippa Passes, KY 41844-9033 | 2007-07-05 |
| 1508928136 | Timothy P Hall | Occupational Therapist | 1216 W Benson Ave, Ridgecrest, CA 93555-4708 | 2006-12-13 |
| 1043381130 | Timothy Morris Hall | Dentist | 147 North St, Jacksboro, TN 37757-2109 | 2006-11-13 |
| 1700991239 | Timothy S Hall | Surgery | 2601 Ocean Parkway, Coney Island Hospital, Brooklyn, NY 11235 | 2006-08-21 |
| 1982656435 | Timothy Lee Hall | Occupational Therapist | 9480 E M 21, Ovid Healthcare Center, Ovid, MI 48866-9569 | 2006-05-16 |
| 1275539660 | Timothy R Hall | Pediatrics | 7554 15th Ave Nw, Ballard Pediatric Clinic, Seattle, WA 98117 | 2005-06-22 |
| 1093286320 | Timothy Hall | Counselor | 275 Eastland Rd, Berea, OH 44017-2005 | 2018-12-16 |
| Street Address |
19550 E 39TH ST S STE 300 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031909 | Nathan T. Wegner | Specialist | 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 | 2005-05-24 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1952755340 | Christina Turner | Nurse Practitioner | 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 | 2016-04-21 |
| 1417301615 | Allyson Marie Williams | Nurse Practitioner | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-04-14 |
| 1962860684 | Melody L Alexander | Nurse Practitioner | 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 | 2016-02-09 |
| 1124492608 | Tracy Giese | Nurse Practitioner | 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 | 2015-11-20 |
| 1356733638 | Carma Elizabeth Ball | Nurse Practitioner | 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 | 2015-02-24 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1851706022 | Leslie Peirce | Registered Nurse | 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265892905 | Debra Moravac | Specialist | 17313 E 54th Ter Ct, Independence, MO 64055-7832 | 2016-02-23 |
| 1295165017 | Tracy Lynn Gastright | Specialist | 6264 Martys Trl, Independence, KY 41051-8377 | 2013-11-14 |
| 1548541782 | The Outlet Place for Women | Specialist | 1308 W Truman Rd, Independence, MO 64050-3433 | 2011-09-01 |
| 1669777215 | Jayme Anne Richerson | Specialist | 4202 Briarwood Dr, Independence, KY 41051-9512 | 2011-01-12 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1609006329 | Gary Joseph Do, Inc. | Specialist | 4700 Rockside Rd, Suite 535, Independence, OH 44131-2155 | 2009-07-15 |
| 1073758983 | Carrie Robin Chadwick | Specialist | 10933 Griststone Cir, Independence, KY 41051-7596 | 2008-12-05 |
| 1255522009 | Midwest Neuroscience PC | Specialist | 17020 E 40 Hwy, Suite 8, Independence, MO 64055-5365 | 2007-08-07 |
| 1336355064 | Virendra C. Patel | Specialist | 921 W Myrtle St, Independence, KS 67301-3241 | 2007-05-16 |
| 1891900304 | Milo Marvin Farnham | Specialist | 14505 E 32nd Ter S, Independence, MO 64055-2512 | 2007-05-10 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on DR. TIMOTHY ALLEN HALL.
| 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.