RONALD R HALL (NPI# 1003810656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003810656 |
| Entity Type | Individual |
| Full Name | RONALD R HALL |
| Credential | M.D. |
| Practice Address |
1717 S Calhoun St Fort Wayne IN 46802-5257 |
| Practice Telephone | 2604582641 |
| Practice Fax Number | 2609690007 |
| Mailing Telephone | 2604582641 |
| Mailing Fax Number | 2609690007 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01022184A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100379340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619334224 | Ronald Hall Jr. | Non-emergency Medical Transport (VAN) | 534 John St, Carthage, NY 13619-1082 | 2016-01-27 |
| 1457582181 | Ronald W Hall II | Counselor | 80 S Oriole Trl, Crystal Lake, IL 60014-5842 | 2009-07-29 |
| 1316148752 | Ronald R Hall | Marriage & Family Therapist | 750 S Lincoln Ave Ste 104 Pmb 122, Corona, CA 92882-3136 | 2007-05-31 |
| 1629284435 | Ronald D Hall | Optometrist | 340 S Lowe Ave, Cookeville, TN 38501-4737 | 2007-05-16 |
| 1073611588 | Ronald Gene Hall II | Pharmacist | 4500 Lancaster, Bldg 7, R# 119a, Dallas, TX 75216 | 2006-09-20 |
| 1093785578 | Ronald Daker Hall IIi | Family Medicine | 919 East Central Avenue, Suite 101b, Lafollette, TN 37766-2778 | 2006-01-25 |
| 1023595477 | Ronald Hall | Physical Therapy Assistant | 208 N Main St Ste 130, Weatherford, TX 76086-3267 | 2018-07-27 |
| 1063907418 | Ronald Lee Hall | Social Worker | 1301 N High St, Columbus, OH 43201-2460 | 2018-06-28 |
| 1700281516 | Ronald Hall | Nurse Practitioner | 1819 8th St, Wichita Falls, TX 76301-4212 | 2014-10-23 |
| 1063833945 | Ronald Hall | Social Worker | 1750 Santa Margarita St, Apt -213, Las Vegas, NV 89146-0887 | 2013-12-19 |
| Street Address |
1717 S CALHOUN ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960179 | Omolola Beaird | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-10-24 |
| 1689287518 | Brianna Rae Pool | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-08-29 |
| 1851916274 | Kelly Marie Vandemark | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-06-11 |
| 1922631332 | Neighborhood Health Clinics, Inc | Community/Behavioral Health | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-02-14 |
| 1821646795 | Marta E. Wrobleski | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2019-09-03 |
| 1912462698 | Lormekia Al'mata Warren | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2019-02-06 |
| 1720599988 | Neighborhood Health Clinics, Inc | Optometrist | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2017-10-16 |
| 1801324470 | Kristen Nicole Brunner | Dentist | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2017-05-26 |
| 1043766421 | Allison Treleaven | Optometrist | 1717 S Calhoun St, Fort Wayne, IN 46802 | 2016-08-26 |
| 1104272145 | Jonathan Hinz | Dentist | 1717 S Calhoun St, Fort Wayne, IN 46802 | 2016-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538554399 | Allison Soldner | Pediatrics | 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 | 2015-03-30 |
| 1689939191 | Katherine Elizabeth Welch | Pediatrics | 3308 Rosewood Dr, Fort Wayne, IN 46804-6110 | 2012-07-10 |
| 1881847721 | William C. Ashman | Pediatrics | 6750 Covington Creek Trail, Fort Wayne, IN 46804 | 2008-10-23 |
| 1114061231 | Lalitha Sayed | Pediatrics | 3030 Lake Ave Ste 10, Fort Wayne, IN 46805-5428 | 2007-02-20 |
| 1013077825 | Lindsay M Ligler | Pediatrics | 2514 E. Dupont Rd, Fort Wayne, IN 46825 | 2006-12-11 |
| 1275546913 | Christopher Philip Tallo | Pediatrics | 2510 East Dupont Road, Suite 236, Fort Wayne, IN 46825 | 2006-08-14 |
| 1982614343 | Lynda K Otto | Pediatrics | 2402 Lake Ave, Fort Wayne, IN 46805-5406 | 2006-08-09 |
| 1013936814 | Michael Philip Dick | Pediatrics | 3898 New Vision Dr, Fort Wayne, IN 46845 | 2006-07-19 |
| 1881678860 | Northeast Indiana Genetic Counseling Center Inc | Pediatrics | 11143 Parkview Plaza Dr, Ste. 311, Fort Wayne, IN 46845-1701 | 2005-12-02 |
| 1932106317 | Jayesh P Patel | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-06-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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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.