BETHANY HALL (NPI# 1235243932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235243932 |
| Entity Type | Individual |
| Full Name | BETHANY HALL |
| Credential | M.D. |
| Practice Address |
2305 Genoa Business Park Dr Suite 240 Brighton MI 48114-7004 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 8104946820 |
| Practice Fax Number | 8102290747 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301407099 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174023147 | Bethany Sarah Hall | Licensed Vocational Nurse | 3212 Hastings St, Mesquite, TX 75149-1853 | 2018-02-16 |
| 1124577739 | Bethany Abb Hall | Occupational Therapist | 1178 Hillside Lane, Lenoir City, TN 37771-8482 | 2016-09-23 |
| 1871814848 | Bethany S Hall | Nurse Practitioner | 3136 Bannockburn Dr Se, Ada, MI 49301-9370 | 2010-06-14 |
| 1285231266 | Bethany A Hall | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2020-10-03 |
| 1639599541 | Bethany Marie Hall | Pediatrics | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-04-17 |
| 1568793743 | Bethany Hall | Social Worker | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2010-01-27 |
| Street Address |
2305 GENOA BUSINESS PARK DR SUITE 240 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
| 1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
| 1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
| 1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
| 1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
| 1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1851557433 | Maria Rosario Deleon | Pediatrics | 2305 Genoa Business Park Dr Ste 240, Brighton, MI 48114-7005 | 2008-08-02 |
| 1255495487 | Pierre Bitoun | Pediatrics | 56 Hobson St, Brighton, MA 02135-1850 | 2006-12-21 |
| 1073527255 | April Joy Ping | Pediatrics | 8548 W Grand River Ave, Brighton, MI 48116-2326 | 2006-07-27 |
| 1649200627 | Bashar Shabb Qalieh | Pediatrics | 8550 W Grand River Ave, Suite 300, Brighton, MI 48116-4352 | 2006-07-04 |
| 1669412599 | Bipin Pratachandra Desai | Pediatrics | 136 Kissane St, Brighton, MI 48116 | 2006-06-08 |
| 1669456224 | Linda Marie Nelson | Pediatrics | 30 Warren Street, Brighton, MA 02135 | 2005-12-06 |
| 1659367985 | Shreyas V Patel | Pediatrics | 765 Cambridge St, Brighton, MA 02135-2912 | 2005-09-22 |
| 1346232055 | Mary Claire Bledsoe | Pediatrics | 1606 Prairie Center Parkway, #300, Brighton, CO 80601 | 2005-08-18 |
| 1982251294 | Brittany Allison Ryan | Pediatrics | 30 Warren St, Brighton, MA 02135-3602 | 2019-08-21 |
| Find all providers in BRIGHTON | ||||
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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.