HALL PODIATRY LLC (NPI# 1740709906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740709906 |
| Entity Type | Organization |
| Organization Name | HALL PODIATRY LLC |
| Practice Address |
20 Sw 132nd Terrace Moore OK 73170 |
| Mailing Address |
Po Box 8524 Edmond OK 73083-8524 |
| Practice Telephone | 4058260534 |
| Practice Fax Number | 4052858921 |
| Mailing Telephone | 4058260534 |
| Mailing Fax Number | 4052858921 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | WILLIAM DALE HALL (OWNER) |
| Authorized Official Telephone | 4058260534 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
126 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100116430A | 05 |
| Street Address |
20 SW 132ND TERRACE |
| City | MOORE |
| State | OK |
| Zip Code | 73170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| 1063957066 | Shoma Moriasha Gayah | Physical Therapist | 1634 Sw122nd St, Oklahoma City, OK 73170 | 2016-12-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493754 | Oklahoma Specialty Podiatry Services LLC | Clinic/Center | 4422 Wagonwheel Rd, Edmond, OK 73034-5962 | 2019-08-21 |
| 1467961524 | Allen Podiatry LLC | Clinic/Center | 3668 W 70th Pl N, Tulsa, OK 74126-4384 | 2017-09-21 |
| 1609395854 | Weber Podiatry LLC | Clinic/Center | 1501 Autumn Creek Dr, Edmond, OK 73003-3500 | 2017-09-19 |
| 1851727770 | Gray's Foot & Ankle Inc. | Clinic/Center | 14117 Pecan Hollow Ter, Edmond, OK 73013-7257 | 2013-09-24 |
| 1952591158 | Valley View Foot & Ankle Center Pllc | Clinic/Center | 1631 Arlington St, Ada, OK 74820-2639 | 2007-07-25 |
| 1396234761 | Pro-care Family Health of Oklahoma, LLC | Clinic/Center | 1103 Dewey Ave, Poteau, OK 74953-4411 | 2018-05-01 |
| 1497274609 | Martin Podiatry LLC | Clinic/Center | 2501 N Van Buren St, Enid, OK 73703-1711 | 2017-09-19 |
| 1609325489 | Harkess Podiatry LLC | Clinic/Center | 15318 N May Ave, Suite A, Edmond, OK 73013-8864 | 2016-09-22 |
| 1134461429 | Advanced Podiatry, Pllc | Clinic/Center | 15318 N May Ave, Edmond, OK 73013-8864 | 2013-03-25 |
| 1467759407 | Oklahoma Foot and Ankle Center | Clinic/Center | 3330 Nw 56th St, Suite 410, Oklahoma City, OK 73112-4479 | 2011-02-25 |
| Find all providers with the same taxonomy | ||||
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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.