DR. MICHAEL M HALL (NPI# 1780688366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780688366 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL M HALL |
| Credential | MD |
| Practice Address |
145 Hospital Ave Ste 104 Du Bois PA 15801-1463 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143758055 |
| Practice Fax Number | 8143758056 |
| Mailing Telephone | 8143756560 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD036517E | PA | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD036517E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MC PTAN | 852695FFU | 01 |
| PA | MC PTAN | 591707Q09 | 01 |
| PA | 001132739 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 River Rd, Clearfield, PA 168306026 | 8143758055 | 8143758056 |
| 635 Maple Ave, Dubois, PA 158012376 | 8143758055 | 8143758056 |
| 761 Johnsonburg Rd Ste 140, Saint Marys, PA 158573480 | 8143758055 | 8143758056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754926 | Michael Steven Hall | Physical Therapist | 13 Kanawha Blvd, Charleston, WV 25302-2350 | 2019-08-06 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1245692359 | Michael Hall | Counselor | 1305 2nd St Apt 1, Portsmouth, OH 45662-4600 | 2016-03-28 |
| 1144614587 | Michael Hall | Chiropractor | 1811 Freedom Dr Ste 117, Naperville, IL 60563-5703 | 2015-03-24 |
| 1396002606 | Michael Hall | Otolaryngology | 355 Lennon Ln Ste 235, Walnut Creek, CA 94598-2544 | 2012-04-12 |
| 1265707483 | Michael Hall | Dentist | 3071 Windridge Cir, Highlands Ranch, CO 80126-8006 | 2012-03-21 |
| 1386931764 | Michael Hall | Radiology | 3661 S. Miami Ave Suite 301a, Miami, FL 33133-4509 | 2011-07-06 |
| 1194028274 | Michael Estes Hall | Dentist | Middle Road, Garapan, Saipan, MP 96950 | 2010-12-13 |
| 1528385697 | Michael Oscar Hall | Case Manager/Care Coordinator | 3650 Converse St, Torrington, WY 82240-1512 | 2010-04-28 |
| 1851537062 | Michael L. Hall | Chiropractor | 2413 Blue Ridge Rd, Suite 103, Raleigh, NC 27607-6405 | 2008-12-18 |
| Street Address |
145 HOSPITAL AVE STE 104 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
| 1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
| 1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
| 1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
| 1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
| 1548664881 | Melissa Wingard Miller | Nurse Practitioner | 145 Hospital Ave, Medical Arts Building, Suite 101, Du Bois, PA 15801-1462 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285728915 | Dubois Regional Medical Group, PC | Family Medicine | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958763 | Hope Recovery Services LLC | Family Medicine | 200 Mcknight Park Dr Ste 201, Pittsburgh, PA 15237-6507 | 2019-05-27 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1821503038 | Philly Newlife Suboxone Clinics | Family Medicine | 3477 Saint Vincent St, Philadelphia, PA 19149-1628 | 2017-12-11 |
| 1447609565 | Recovery Care LLC | Family Medicine | 2057 State Route 130 # 3, Jeannette, PA 15644-3801 | 2016-06-09 |
| 1366806358 | Victory Life Health Services | Family Medicine | 95 E High St Ste 104, Waynesburg, PA 15370-1853 | 2016-04-06 |
| 1154662062 | William Francis Hushion I | Family Medicine | 1066 Putnam Blvd, Wallingford, PA 19086-6747 | 2013-03-04 |
| 1740570886 | Germantown Pain Management & Physical Therapy | Family Medicine | 6334 Germantown Ave, Philadelphia, PA 19144-1935 | 2011-04-11 |
| 1649584459 | Meridian Recovery Services Inc | Family Medicine | 2626 Sigsbee St, Erie, PA 16508-1721 | 2010-08-04 |
| 1265754998 | Amc Health | Family Medicine | 2626 Sigsbee Street, Erie, PA 16508-1808 | 2010-02-22 |
| 1629201314 | Cottman & Castor Pain Management | Family Medicine | 1934 Cottman Ave, Philadelphia, PA 19111-3817 | 2009-08-27 |
| 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.