Dwight Hall (NPI# 1770582736, PAC ID# 1951209659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1770582736 |
| PAC ID by PECOS | 1951209659 |
| Professional Enrollment ID | I20050110000290 |
| Full Name | Dwight Hall |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Address |
700 E Marshall Ave Longview TX 75601-5580 |
| Phone Number | 9033152000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1996 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3779565544 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450475 | ETMC HENDERSON |
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 300 Wilson St, Henderson, TX 75652-5956 | 9036556536 | HENDERSON HOSPITAL, LLC |
| 700 E Marshall Ave, Longview, TX 75601-5580 | 9033152000 | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| 811 S Washington Ave, Marshall, TX 75670-5336 | 9039276000 | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Schulundria S Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Richard Carlton Klima | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Randall W Young | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Donna Goecke | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Clifton Fincher | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Jeffrey L Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Abby N Godwin | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Richard L Holladay | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Zackary G Lister | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Bradley B Taylor | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Street Address |
700 E MARSHALL AVE |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-5580 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan J Kral | Emergency Medicine | Acute Care Specialists | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Yashashree A Vegi | Internal Medicine | Trinity Clinic | 700 E Marshall Ave, Christus Trinity Clinic, Longview, TX 75601-5580 |
| Sayojirao V Kodali | Anesthesiology | Trinity Clinic | 700 E Marshall Ave, Christus Trinity Clinic, Longview, TX 75601-5580 |
| Melton H Fish | Pathology | Baylor College of Medicine | 700 E Marshall Ave, Community Pathology, Longview, TX 75601-5580 |
| Nancy Pachuca | Internal Medicine | Trinity Clinic | 700 E Marshall Ave, Christus Trinity Clinic, Longview, TX 75601-5580 |
| Kevin W Mccrary | Diagnostic Radiology | Medical Imaging Consultants LLP | 700 E Marshall Ave, Longview, TX 75601-5572 |
| Ricky A Paul | Obstetrics/gynecology | Trinity Clinic | 700 E Marshall Ave, Christus Trinity Clinic, Longview, TX 75601-5580 |
| Olusola Olofinlade | Gastroenterology | Trinity Clinic | 700 E Marshall Ave, Christus Trinity Clinic, Longview, TX 75601-5580 |
| Jennifer A Chandler | Emergency Medicine | Acute Care Specialists | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Kristen F Walker | Emergency Medicine | Acute Care Specialists | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LONGVIEW + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Dwight 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.