MARVIN DOUGLAS HALL JR. (NPI# 1679089460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679089460 |
| Entity Type | Individual |
| Full Name | MARVIN DOUGLAS HALL JR. |
| Credential | CFA CSA |
| Practice Address |
501 Darby Creek Rd Lexington KY 40509-1604 |
| Mailing Address |
991 Tatesbrook Dr Lexington KY 40517-2991 |
| Practice Telephone | 8599675715 |
| Mailing Telephone | 8593330676 |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2017-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA310 | KY | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285674655 | Marvin L Hall | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-07 |
| 1427094507 | Marvin N Hall | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-06-20 |
| Street Address |
501 DARBY CREEK RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336167626 | Paul David Dalton | Counselor | 501 Darby Creek Rd, Suite 11, Lexington, KY 40509-1604 | 2006-07-17 |
| 1679053797 | Jennifer Stuck | Student in an Organized Health Care Education/Training Program | 501 Darby Creek Rd, Lexington, KY 40509-1604 | 2018-08-17 |
| 1073069126 | Caverly Connor | Counselor | 501 Darby Creek Rd, Suite 7, Lexington, KY 40509-1604 | 2016-08-29 |
| 1851844997 | Jessica Coburn | Counselor | 501 Darby Creek Rd, Suite 11, Lexington, KY 40509-1604 | 2016-07-25 |
| 1386092179 | Joel Wilson | Counselor | 501 Darby Creek Rd, Suite 50, Lexington, KY 40509-1604 | 2016-06-02 |
| 1194195669 | Substance Abuse Professionals of Ky | Counselor | 501 Darby Creek Rd, Suite 11, Lexington, KY 40509-1604 | 2015-09-28 |
| 1376919530 | Brandy Michelle Griffin | Student in an Organized Health Care Education/Training Program | 501 Darby Creek Rd, Lexington, KY 40509-1604 | 2015-08-11 |
| 1891177325 | Keith Haas, Lcsw, Pllc | Social Worker | 501 Darby Creek Rd, 3, Lexington, KY 40509-1604 | 2015-06-20 |
| 1386042216 | Katelyn B. Tippett | Marriage & Family Therapist | 501 Darby Creek Rd, Suite 50, Lexington, KY 40509-1604 | 2014-12-09 |
| 1578961553 | Jeffrey Reed | Counselor | 501 Darby Creek Rd, Suite 250, Lexington, KY 40509-1604 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663327 | Stephanie Nicole Dalton | Specialist/Technologist, Other | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2019-01-17 |
| 1215446455 | Antoine Suggs | Specialist/Technologist, Other | 750 Shaker Dr, Lexington, KY 40504-3745 | 2017-09-20 |
| 1689190217 | David A Hoffman | Specialist/Technologist, Other | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2017-08-15 |
| 1578944575 | Rewa Smith | Specialist/Technologist, Other | 1221 S Broadway, Lexington, KY 40504-2701 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380451 | Julia A Seward | Specialist/Technologist, Other | 1023 New Moody Ln Ste 102, La Grange, KY 40031-9183 | 2020-09-09 |
| 1518506567 | Jennifer Catherine Samargo | Specialist/Technologist, Other | 4617 Andalusia Ln, Louisville, KY 40272-3301 | 2019-12-22 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1134699838 | Javier Jesus Suarez Rivera | Specialist/Technologist, Other | 3607 Fountain Dr Apt 2, Louisville, KY 40218-2559 | 2018-11-26 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1508307950 | Shelley Elizabeth Jones | Specialist/Technologist, Other | 3242 Holland Rd, Scottsville, KY 42164-9102 | 2017-03-18 |
| 1982143855 | Sherry L Wells | Specialist/Technologist, Other | 3260 Spring Hollow Ave Apt 1, Bowling Green, KY 42104-6371 | 2017-02-13 |
| 1316300312 | George W Terry Jr. | Specialist/Technologist, Other | 934 Siesta Dr, Richmond, KY 40475-3406 | 2016-03-29 |
| 1144691650 | Gregory Tyler Mann | Specialist/Technologist, Other | 200 Liberty Hill Dr, Columbia, KY 42728-9215 | 2015-10-09 |
| 1427432020 | Kimberly Thompson | Specialist/Technologist, Other | 1520 Martin Pierce Rd, Cub Run, KY 42729-7679 | 2015-07-13 |
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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.