JUSTIN HALL (NPI# 1295105476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295105476 |
| Entity Type | Individual |
| Full Name | JUSTIN HALL |
| Credential | PA-C |
| Practice Address |
5 Neponset St Worcester MA 01606-2714 |
| Mailing Address |
5 Neponset St Wot 2nd Fl, Ste C203 Worcester MA 01606-2714 |
| Practice Telephone | 5085952300 |
| Practice Fax Number | 5088535226 |
| Mailing Telephone | 5085952300 |
| Mailing Fax Number | 5088535226 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA6280 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA00840 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363612 | Justin Alexander Hall | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard Department of Otolaryngology, Winston Salem, NC 27157-0001 | 2020-03-31 |
| 1174037949 | Justin Byron Hall | Radiology | 3452 Milam Ln, Lexington, KY 40502-3652 | 2017-11-30 |
| 1386738029 | Justin Hall | Psychiatry & Neurology | 110 Veterans Blvd., Suite 425, Metairie, LA 70005 | 2006-10-03 |
| 1669002887 | Justin Hall | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-01-16 |
| 1710532411 | Justin D Hall | Occupational Therapy Assistant | 1525 E 6th St Ste B, Weslaco, TX 78596-4667 | 2019-08-08 |
| 1578033817 | Justin Herbert Hall | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2018-11-29 |
| 1477021426 | Justin Thomas Hall | Nurse Practitioner | 1501 N Cambell Ave, Tucson, AZ 85724-0001 | 2018-11-07 |
| 1700306677 | Justin Tyler Hall | Behavior Technician | 2035 Sw 75th St, Gainesville, FL 32607-3425 | 2017-06-22 |
| 1699136267 | Justin Kelvin Hall | Student in an Organized Health Care Education/Training Program | 630 W 168th St, Vanderbilt Clinic 7th Floor, New York, NY 10032-3725 | 2016-03-10 |
| 1134599152 | Justin Hall | Occupational Therapist | 2100 Exeter Rd, Germantown, TN 38138-3966 | 2015-10-02 |
| Street Address |
5 NEPONSET ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
| 1831708841 | Lucy Kirakous | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2020-07-26 |
| 1174157259 | Krystal Leblanc | Social Worker | 5 Neponset St, Worcester, MA 01606-2714 | 2020-02-27 |
| 1124664313 | Kedeshia Malin | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2019-11-21 |
| 1730627472 | Jessica E. Valletta | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2017-02-02 |
| 1447700182 | Margaret Tu-anh Nguyen | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-10-06 |
| 1922551746 | Danielle N. Lawrence | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-07-28 |
| 1679929004 | Samuel Schieffelin Nordberg | Psychologist | 5 Neponset St, Worcester, MA 01606-2714 | 2016-05-04 |
| 1225496938 | Quynh V. Tu | Dietitian, Registered | 5 Neponset St, Worcester, MA 01606-2714 | 2016-02-09 |
| 1407274129 | Hung Giai Trinh | Internal Medicine | 5 Neponset St, Worcester, MA 01606-2714 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610633 | Maria Zammarelli | Physician Assistant | 48 Vincent Cir, Worcester, MA 01604-3462 | 2020-08-24 |
| 1861001901 | Dajia Angell | Physician Assistant | 13 Greendale Ave Apt 2, Worcester, MA 01606-3261 | 2020-07-24 |
| 1194353219 | Jessica Noga | Physician Assistant | 322 Lovell St Apt 2, Worcester, MA 01602-4375 | 2020-04-01 |
| 1821658840 | Jonathan Sachariah | Physician Assistant | 327 Plantation St Apt 315, Worcester, MA 01604-1774 | 2019-06-20 |
| 1295394906 | Morgan Talbot Mitchell | Physician Assistant | 27 Wachusett St Apt 46, Worcester, MA 01609-4602 | 2019-06-07 |
| 1730642299 | Mary Howard | Physician Assistant | 600 Main St Apt 1004, Worcester, MA 01608-2064 | 2019-04-11 |
| 1861965790 | Priscilla Yeon | Physician Assistant | 8 Grafton St Apt 710, Worcester, MA 01604-4951 | 2019-01-03 |
| 1891263323 | Janet Elaine Greenslade | Physician Assistant | 100 Mlk Jr Blvd Ste 2, Worcester, MA 01608-1209 | 2018-11-02 |
| 1629577887 | Emily Elizabeth Lemay | Physician Assistant | 11 Cutting Ave, Worcester, MA 01606-2207 | 2018-02-02 |
| 1851752794 | Edward Chester Mcinerny | Physician Assistant | 123 Summer St Ste 695, Worcester, MA 01608-1216 | 2016-03-18 |
| Find all providers in WORCESTER | ||||
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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.