DR. JOHN CHARLES HALL (NPI# 1841295649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295649 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES HALL |
| Credential | MD |
| Practice Address |
4400 Broadway Blvd Ste 316 Kansas City MO 64111-3305 |
| Practice Telephone | 8165617783 |
| Practice Fax Number | 8165617968 |
| Mailing Telephone | 8165617783 |
| Mailing Fax Number | 8165617968 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R6868 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD MO | 06573011 | 01 |
| KS | 100185650A | 05 | |
| MO | 200429900 | 05 | |
| KS | BCBS OF KANSAS | 39420 | 01 |
| MO | MO STATE ID # | R6868 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708906 | John Hall | Non-emergency Medical Transport (VAN) | 1 Pasadena Dr, Fairview Heights, IL 62208-1915 | 2019-03-03 |
| 1053822718 | John L Hall | Counselor | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2017-10-20 |
| 1548790819 | John Hall | Behavior Technician | 2373 Se Surrey Pl, Port St Lucie, FL 34952-7360 | 2017-06-19 |
| 1265803100 | John Hall | Counselor | 2010 S Burnside Ave, Suite B, Gonzales, LA 70737 | 2015-10-19 |
| 1285048025 | John Martin Hall | Podiatrist | 1421 S Glenburnie Rd # D, New Bern, NC 28562 | 2014-06-19 |
| 1275958878 | John Hall | Physical Therapy Assistant | 505 Lopax Rd, Harrisburg, PA 17112-4337 | 2014-02-19 |
| 1417213091 | John Davis Hall | Licensed Practical Nurse | 166 Grace St, Syracuse, NY 13204-3602 | 2012-04-08 |
| 1992913099 | John Louis Hall Sr. | Counselor | 18106 Temple Hill Lane, Cypress, TX 77429-4273 | 2007-05-21 |
| 1467673764 | John Edward Hall | Dentist | 2128 Oak Grove Rd, Hattiesburg, MS 39402-1572 | 2007-05-02 |
| 1669699898 | John David Hall | Chiropractor | 616 N Beacon Blvd, Grand Haven, MI 49417-1193 | 2007-04-19 |
| Street Address |
4400 BROADWAY BLVD STE 316 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134481831 | Johanna Suzanne Peterson | Dermatology | 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division of General and Geriatric Medicine, University, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1992076624 | Audrey Gottlieb Kunin | Dermatology | 1901 Mcgee St, Kansas City, MO 64108-1827 | 2012-01-26 |
| 1255643490 | Wenfei Xie | Dermatology | 5810 Nw Barry Rd Ste 100, Kansas City, MO 64154-1400 | 2010-07-03 |
| 1639494198 | Anand Rajpara | Dermatology | 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 | 2010-03-28 |
| 1578792776 | Tracy Michelle Katz | Dermatology | Ms 2025 4009 Wescoe, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2009-07-08 |
| 1275734022 | Christopher Robert Rouse | Dermatology | 6352 N Cosby Ave, Kansas City, MO 64151-2344 | 2007-05-30 |
| 1194938118 | Meggan R Newland | Dermatology | 4400 Broadway Blvd Ste 400, Kansas City, MO 64111-3342 | 2007-05-07 |
| 1679791909 | Deede Y Liu | Dermatology | University of Kansas Med Ctr 3901 Rainbow Blvd, Ms 2025 Division of Dermatology, Kansas City, KS 66160-0001 | 2007-04-23 |
| 1922192848 | Kanza Multispecialty Group Pa | Dermatology | 1428 S 32nd St, Upper Level, Kansas City, KS 66106-2106 | 2006-10-03 |
| 1679586366 | Lisa Waxman | Dermatology | 10940 Parallel Pkwy, Suite M, Kansas City, KS 66109-4434 | 2006-08-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on DR. JOHN CHARLES HALL.
| 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.