Craig W Hall (NPI# 1013920628, PAC ID# 1658445028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013920628 |
| PAC ID by PECOS | 1658445028 |
| Professional Enrollment ID | I20080801000621 |
| Full Name | Craig W Hall |
| Organization Legal Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| Address |
845 S Fairmont Ave Suite 8 Lodi CA 95240-5113 |
| Phone Number | 2093343411 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618880717 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050336 | ADVENTIST HEALTH LODI MEMORIAL |
| 050014 | SUTTER AMADOR HOSPITAL |
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| 051332 | MARK TWAIN MEDICAL CENTER |
| 050335 | ADVENTIST HEALTH SONORA |
| Address | Phone | Organization |
|---|---|---|
| 305 Preston Ave, Ione, CA 95640-9158 | 2092742183 | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| 845 S Fairmont Ave, Suite 8, Lodi, CA 95240-5113 | 2093343411 | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| Organization Legal Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armeghan Bagherpour | Physician Assistant | Lodi Memorial Hospital Association Inc | 305 Preston Ave, Ione, CA 95640-9158 |
| Abdul W Raif Jawid | Internal Medicine | Lodi Memorial Hospital Association Inc | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 |
| Than Soe | Family Medicine | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
| Ranganathan G Madhavan | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Sandra Robles-bonham | Physician Assistant | Lodi Memorial Hospital Association Inc | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7287 |
| Juliene C Gentry | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Steven D Laviola | Cardiovascular Disease (cardiology) | Lodi Memorial Hospital Association Inc | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7287 |
| James M Myers | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
| Alex T Kelemework | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Jaynesh A Patel | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Street Address |
845 S FAIRMONT AVE SUITE 8 |
| City | LODI |
| State | CA |
| Zip | 95240-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mani Mahdyoon | Internal Medicine | 845 S Fairmont Ave, Suite 5, Lodi, CA 95240-5113 | |
| Ronald G Navone | Internal Medicine | 845 S Fairmont Ave, Suite 5, Lodi, CA 95240-5113 | |
| Rajeev Shukla | Internal Medicine | 845 S Fairmont Ave, Suite 1, Lodi, CA 95240-5113 | |
| Venkat R Tirumala | Pulmonary Disease | Lodi Memorial Hospital Association Inc | 845 S Fairmont Ave, Suite 8, Lodi, CA 95240-5113 |
| Rajbarinder S Hundal | Cardiovascular Disease (cardiology) | Lodi Memorial Hospital Association Inc | 845 S Fairmont Ave, Suite 8, Lodi, CA 95240-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramnik Singh Clair | Osteopathic Manipulative Medicine | 900 S Fairmont A A, Lodi, CA 95240 | |
| Kharis E Powell | Psychologist, Clinical | 12 S Hutchins St, Lodi, CA 95240-1922 | |
| Sarah A Bozeman | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Zachary Joseph Mertz | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Fatema M Ghani | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Michael R Oconnell | Chiropractic | 404 W Pine St, Suite 14, Lodi, CA 95240-2048 | |
| Toni F Reynolds | Chiropractic | 404 W Pine St, Suite 4, Lodi, CA 95240-2048 | |
| Heather West Leam | Chiropractic | 812 W Lodi Ave, Lodi, CA 95240-3302 | |
| Larry Od Simpfenderfer | Optometry | 1210 W Tokay St, Lodi, CA 95240-3810 | |
| Frank T Huang Jr. | Endocrinology | Adventist Health Physicians Network | 515 S Fairmont Ave, Lodi, CA 95240-3834 |
| Find all physicians in zip 95240 | |||
| City | LODI |
| Zip Code | 95240 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LODI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Craig W Hall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.