MARK GRAYSON HALL (NPI# 1306475868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306475868 |
| Entity Type | Individual |
| Full Name | MARK GRAYSON HALL |
| Credential | MD |
| Practice Address |
1010 N Kansas St Ste 3023 Wichita KS 67214-3124 |
| Practice Telephone | 1629326653 |
| Mailing Telephone | 1629326653 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 94-10298 | KS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659680106 | Mark Francis Hall | Social Worker | 164 W Newton St # 2, Boston, MA 02118-1203 | 2010-10-01 |
| 1972664233 | Mark Allen Hall | Dentist | 161 12th Ave W Ste C, Guin, AL 35563-2257 | 2006-12-12 |
| 1356421507 | Mark Longley Hall | Dentist | 5990 Sw 40 St, Miami, FL 33155-5202 | 2006-10-16 |
| 1982702171 | Mark K Hall | Dentist | 5225 Sw 7th St, Topeka, KS 66606-2329 | 2006-09-20 |
| 1609815166 | Mark A Hall | Dermatology | 388 Sw Bluff Dr, Bend, OR 97702-1360 | 2006-06-06 |
| 1467400705 | Mark Hall | Physical Therapist | 130 W 56th St, Ste 6m, New York, NY 10019-3866 | 2006-05-05 |
| 1104899764 | Mark E Hall | Podiatrist | 7556 Lake Worth Rd, Suite 104, Lake Worth, FL 33467-2503 | 2006-02-13 |
| 1659809804 | Mark Hall | Military Health Care Provider | Naval Medical Center 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2017-06-01 |
| 1891181103 | Mark Hall | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, Attn: Ms. Megan Hudak; Office of Education, Mc 7871, San Antonio, TX 78229-3901 | 2015-04-13 |
| 1598193989 | Mark Hall | Nurse Practitioner | 116 W 23rd St Ste 500, New York, NY 10011-2599 | 2013-10-22 |
| Street Address |
1010 N KANSAS ST STE 3023 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1568089621 | Maria Villavicencio Jimenez | Pediatrics | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-07-06 |
| 1992322051 | Julia Kononowicz | Pediatrics | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-07-06 |
| 1528685401 | Jessica Stephens | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-26 |
| 1841816840 | Jordan Marshall | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
| 1346866357 | Jordan Smith | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
| 1518583947 | Sidney Pearson | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-22 |
| 1528684297 | Michael Falahat | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
| 1083230734 | Samuel Bruna | Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
| 1376167668 | Mohamed Ibrahim | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| 1508108945 | Jarvis Wayne Walters | Surgery | 4013 N Ridge Rd Ste 210, Wichita, KS 67205-8860 | 2013-03-25 |
| 1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
| 1760758791 | Sammy H. Kouri | Surgery | 619 N Armour Wichita, Wichita, KS 67206 | 2012-03-23 |
| 1215222542 | Rori Mankins | Surgery | 818 N Emporia St Ste 200, Wichita, KS 67214 | 2011-06-15 |
| 1710271549 | Mark Mankins | Surgery | 9350 E 35th St N Ste 103, Wichita, KS 67226-2022 | 2011-06-09 |
| 1306007430 | Andrew S Hentzen | Surgery | 3243 E Murdock St Ste 4404, Wichita, KS 67208-3052 | 2008-06-20 |
| 1609036326 | Thomas Robert Resch | Surgery | 818 N. Emporia, Suite 200, Wichita, KS 67214 | 2008-06-16 |
| 1972663946 | John Vincent Young Jr. | Surgery | 8106 E Champions St, Wichita, KS 67226-3324 | 2006-12-11 |
| 1700979473 | Hector O. Fernandez Sr. | Surgery | 1333 N. Broadway, Ste. A, Wichita, KS 67214 | 2006-10-02 |
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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.