JOHN H HALL JR. (NPI# 1174610935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174610935 |
| Entity Type | Individual |
| Full Name | JOHN H HALL JR. |
| Credential | MD |
| Practice Address |
1305 W Wendover Ave Suite D Greensboro NC 27408 |
| Practice Telephone | 3363339111 |
| Practice Fax Number | 3363332042 |
| Mailing Telephone | 3363339111 |
| Mailing Fax Number | 3363332042 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35358 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 38371 | 01 |
| NC | 893837 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708906 | John Hall | Non-emergency Medical Transport (VAN) | 1 Pasadena Dr, Fairview Heights, IL 62208-1915 | 2019-03-03 |
| 1053822718 | John L Hall | Counselor | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2017-10-20 |
| 1548790819 | John Hall | Behavior Technician | 2373 Se Surrey Pl, Port St Lucie, FL 34952-7360 | 2017-06-19 |
| 1265803100 | John Hall | Counselor | 2010 S Burnside Ave, Suite B, Gonzales, LA 70737 | 2015-10-19 |
| 1285048025 | John Martin Hall | Podiatrist | 1421 S Glenburnie Rd # D, New Bern, NC 28562 | 2014-06-19 |
| 1275958878 | John Hall | Physical Therapy Assistant | 505 Lopax Rd, Harrisburg, PA 17112-4337 | 2014-02-19 |
| 1417213091 | John Davis Hall | Licensed Practical Nurse | 166 Grace St, Syracuse, NY 13204-3602 | 2012-04-08 |
| 1992913099 | John Louis Hall Sr. | Counselor | 18106 Temple Hill Lane, Cypress, TX 77429-4273 | 2007-05-21 |
| 1467673764 | John Edward Hall | Dentist | 2128 Oak Grove Rd, Hattiesburg, MS 39402-1572 | 2007-05-02 |
| 1669699898 | John David Hall | Chiropractor | 616 N Beacon Blvd, Grand Haven, MI 49417-1193 | 2007-04-19 |
| Street Address |
1305 W WENDOVER AVE SUITE D |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049291 | Eye Consultants of Greensboro | Technician/Technologist | 1305 W Wendover Ave, Suite B, Greensboro, NC 27408-8124 | 2006-08-31 |
| 1235605536 | Mary Kate Elizabeth Young | Occupational Therapy Assistant | 1305 W Wendover Ave, Greensboro, NC 27408-8124 | 2018-10-15 |
| 1740505346 | Interact Pediatric Therapy Services, Pllc | Occupational Therapist | 1305 W Wendover Ave, C, Greensboro, NC 27408-8124 | 2010-04-07 |
| 1265554547 | Deanna Cole Reyes | Occupational Therapist | 1305 W Wendover Ave, C, Greensboro, NC 27408-8124 | 2007-04-06 |
| 1245318245 | Rosanna Carol Mcconnell | Dermatology | 1305 W Wendover Ave, Suite D, Greensboro, NC 27408 | 2006-11-01 |
| 1598852360 | Amber J Register | Dermatology | 1305 W Wendover Ave, Suite D, Greensboro, NC 27408 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003226051 | Mario Mitkov | Dermatology | 3107 Brassfield Rd Ste 300, Greensboro, NC 27410-2074 | 2014-04-30 |
| 1750439188 | Bruce Phillip Mccoy | Dermatology | 526 North Elam Avenue, Suite 201, Greensboro, NC 27403-1132 | 2007-01-08 |
| 1538236294 | Wayne G. Woods Md Pa | Dermatology | 719 Green Valley Rd Ste 203, Greensboro, NC 27408-7025 | 2006-11-29 |
| 1023105897 | John H Hall Jr Md Pa | Dermatology | 1305 W Wendover Avenue, Ste D, Greensboro, NC 27408 | 2006-10-05 |
| 1033195789 | Dermatology Specialists Pa | Dermatology | 510 N Elm Ave, Suite 303, Greensboro, NC 27403-1142 | 2005-12-15 |
| 1093799447 | Robert Nicholas Davis | Dermatology | 600 Walter Reed Dr, Greensboro, NC 27403-4541 | 2005-11-30 |
| 1013914910 | Robert G Goodrich | Dermatology | 2704 Saint Jude St, Greensboro, NC 27405-3670 | 2005-07-07 |
| 1962405647 | David E. Tart | Dermatology | 5704 Hidden Orchard Dr, Greensboro, NC 27410-2523 | 2005-05-24 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
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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.