ROBERT L HALL, MD (NPI# 1487617932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487617932 |
Entity Type | Organization |
Organization Name | ROBERT L HALL, MD |
Practice Address |
2725 N Westwood Blvd Poplar Bluff MO 63901-2346 |
Mailing Address |
2725 N Westwood Blvd Poplar Bluff MO 63901-2367 |
Practice Telephone | 5737783338 |
Practice Fax Number | 5737783337 |
Mailing Telephone | 5737783338 |
Mailing Fax Number | 5737783337 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DEE SIMPSON (OWNER) |
Authorized Official Telephone | 5737783338 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | R3J38 | MO | Other Service Providers |
Street Address |
2725 N WESTWOOD BLVD |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901-2346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770555674 | Cardio Pulmonary Rehab | Dietitian, Registered | 2725 N Westwood Blvd, Poplar Bluff, MO 63901 | 2006-02-03 |
1588199442 | Shanna Vanderburg | Registered Nurse | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
1255866208 | Jamie Deken | Registered Nurse | 2725 N Westwood Blvd, Ste 16, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
1790193506 | Living Better Behavioral Health, LLC | Community/Behavioral Health | 2725 N Westwood Blvd, Suite 8, Poplar Bluff, MO 63901-2346 | 2014-07-24 |
1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
1427341510 | Solid Rock Christian Counseling, Inc | Social Worker | 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901-2346 | 2011-05-23 |
1982997599 | Darrell Dewayne Robertson | Social Worker | 2725 N Westwood Blvd, Ste.5a, Poplar Bluff, MO 63901-2346 | 2011-05-16 |
1114177607 | Zuleika Danielle Matlock | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-22 |
1831348150 | Leigh Ann Johnson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
1174772495 | Charles Wayne Robertson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588995765 | Yung H. Hwang, Inc | Medical Genetics, Ph.D. Medical Genetics | 327 E Airport Dr, Carthage, MO 64836-3402 | 2010-01-27 |
1063442887 | Bolivar Medical Center, Inc. | Medical Genetics, Ph.D. Medical Genetics | 714 N Pomme De Terre Ave, Bolivar, MO 65613-1241 | 2006-07-04 |
City | POPLAR BLUFF |
Zip Code | 63901 |
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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.