SAMUEL DEVAN HALL SR. (NPI# 1750612545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750612545 |
| Entity Type | Individual |
| Full Name | SAMUEL DEVAN HALL SR. |
| Credential | MS, CM |
| Practice Address |
807 Sw F Ave Lawton OK 73501 |
| Mailing Address |
8002 Nw Micklegate Blvd Lawton OK 73505 |
| Practice Telephone | 5805957000 |
| Mailing Telephone | 5805361490 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | 20698 | OK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1205260023 | Samuel Clayton Hall | Counselor | 375 S 4th St Apt 4, San Jose, CA 95112-3656 | 2013-08-28 |
| 1659992329 | Samuel Hall | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2020-05-04 |
| 1194384602 | Samuel Todd Hall | Nurse Practitioner | 201 S Oakridge Dr, Hudson Oaks, TX 76087-1793 | 2019-06-08 |
| 1649837949 | Samuel Abraham Hall | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Pediatrics, Shreveport, LA 71130-3932 | 2019-05-22 |
| 1487115838 | Samuel Claude Hall | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2019-03-28 |
| 1215497037 | Samuel Hall | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-20 |
| 1669821476 | Samuel George Hall | Family Medicine | 2775 N George St, York, PA 17406-3020 | 2016-06-13 |
| 1952663148 | Samuel Robert Hall | Dentist | 401 S Gloster St, Suite 101, Tupelo, MS 38801-5540 | 2012-06-13 |
| 1912208380 | Samuel James Hall | Occupational Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-16 |
| Street Address |
807 SW F AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184786238 | Cornerstone Clinical Services, Inc | Community/Behavioral Health | 807 Sw F Ave, Lawton, OK 73501-4506 | 2006-12-15 |
| 1013556588 | Rhianna Marie Gwoompi | Peer Specialist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2020-01-02 |
| 1487290425 | Anna Ellen Silverhorn | Case Manager/Care Coordinator | 807 Sw F Ave, Lawton, OK 73501-4506 | 2019-11-25 |
| 1881184794 | Teresa Biffle | Counselor | 807 Sw F Ave, Lawton, OK 73501-4506 | 2018-05-16 |
| 1093239618 | Beonica Henry | Case Manager/Care Coordinator | 807 Sw F Ave, Lawton, OK 73501-4506 | 2017-07-26 |
| 1497299473 | Alexis Grant | Marriage & Family Therapist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2016-12-12 |
| 1841650769 | Ryan Payne | Counselor | 807 Sw F Ave, Lawton, OK 73501-4506 | 2016-03-04 |
| 1437539194 | Amanda Schroeder | Social Worker | 807 Sw F Ave, Lawton, OK 73501-4506 | 2015-06-08 |
| 1447630215 | Ashley Elizabeth Miller | Marriage & Family Therapist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2015-06-05 |
| 1073905501 | Gloria Weary | Counselor | 807 Sw F Ave, Lawton, OK 73501-4506 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600048 | Taylor Dawn Prosser | Counselor | 1904 Nw Cache Rd, Lawton, OK 73507-4539 | 2019-07-13 |
| 1871057893 | Roxanne Elizabeth Wiseman | Counselor | 1604 Nw Lake Ave, Lawton, OK 73507-6451 | 2019-01-23 |
| 1225506264 | Itai Chinhamo-wilson | Counselor | 1802 Nw Ferris Ave, Lawton, OK 73507-5625 | 2018-11-07 |
| 1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
| 1720516313 | Cequinse Scruggs | Counselor | 2704 Nw 52nd St Apt S5, Lawton, OK 73505-1459 | 2017-05-26 |
| 1235679671 | Angela L. Stanley, Lpc | Counselor | 1529 W Gore Blvd, C2, Lawton, OK 73501-3646 | 2017-03-05 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| 1245635382 | Kelly Mills | Counselor | 215 Se Warwick Way, Lawton, OK 73501-6368 | 2014-10-31 |
| 1114333150 | Mark Slater | Counselor | 401 Ne Angus St, Lawton, OK 73507-1408 | 2014-07-10 |
| 1639580848 | Andrea Loftis | Counselor | 1311 Sw E Ave, Lawton, OK 73501-4716 | 2014-05-12 |
| Find all providers in LAWTON | ||||
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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.