MARY HALL


Address: 16901 Lakeside Hills Ct, Attn: Hospital Medicine, Omaha, NE 68130-2318
Phone: 8555244001

MARY HALL (NPI# 1104285865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104285865
Entity Type Individual
Full Name MARY HALL
Credential PA-C
Practice Address 16901 Lakeside Hills Ct
Attn: Hospital Medicine
Omaha
NE 68130-2318
Mailing Address 7261 Mercy Rd
Omaha
NE 68124-2311
Practice Telephone 8555244001
Practice Fax Number 4027177340
Enumeration Date 2016-02-23
Last Update Date 2016-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 081276 IA Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 2002 NE Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY HALL

NPI Name Taxonomy Address Enumeration
1528673589 Mary A Hall Registered Nurse 622 Mary St, Warminster, PA 18974-2800 2020-09-15
1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
1396396776 Mary Melyssa Hall Music Therapist 99 Fort Washington Ave Lowr Level, New York, NY 10032-4655 2019-09-26
1619524303 Mary L Hall Occupational Therapist 2980 Hermitage Dr, Sumter, SC 29150-6006 2019-08-19
1801353693 Mary B Hall Dietitian, Registered 507 Brooks Ave, San Jose, CA 95125-1620 2019-02-27
1346735529 Mary Justine Hall Acupuncturist 54 W Twin Oaks Ter Ste 13, South Burlington, VT 05403-7141 2018-06-29
1144721663 Mary Hall Technician 1730 7th St Nw Apt 502, Washington, DC 20001-3132 2018-02-21
1538675244 Mary Elizabeth Hall Social Worker 411 Stave Mill Rd, Murphysboro, IL 62966-4888 2017-12-18
1043682479 Mary Hall Developmental Therapist 4720 Fox Den Ct, Louisville, KY 40241-1008 2015-10-25
1669870374 Mary Lois Hall Pediatrics 3500 Humboldt Ave S, Minneapolis, MN 55408-3316 2014-12-11

Office Location

Street Address 16901 LAKESIDE HILLS CT
ATTN: HOSPITAL MEDICINE
City OMAHA
State NE
Zip Code 68130-2318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013916600 New Century Physicians of Nebraska LLC Emergency Medicine 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2005-07-18
1629600630 Zachary Allen Labs Physician Assistant 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2020-02-07
1922564350 Sarah E Steffes Physician Assistant 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2019-02-11
1306301254 Melanie M Fehringer Physician Assistant 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2019-02-05
1144746363 Kassie A Lueth Nurse Practitioner 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2017-08-18
1861932527 Kathrine Bosch Registered Nurse 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2017-02-28
1508222183 Emi M Spivey Nurse Practitioner 16901 Lakeside Hills Ct, Attn: Hospital Medicine Dept., Omaha, NE 68130-2318 2016-01-12
1467853424 Kelli Sue Doll Nurse Practitioner 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2014-09-09
1780091298 Rachel Marie Fall Specialist/Technologist 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2014-07-16
1568873206 Melissa G Bakker Nurse Anesthetist, Certified Registered 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 2014-05-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861998270 Samantha June Curto Nurse Practitioner 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 2018-04-04
1780196451 Heritage Oncare Home Health LLC Home Health 16934 Frances St Ste 200, Omaha, NE 68130 2017-11-02
1497281745 Dental Professionals of Nebraska, PC Dentist 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 2017-05-05
1891166492 Stephanie Tupper Speech-Language Pathologist 16338 Oak Circle, Omaha, NE 68130 2015-10-08
1194036723 Anthony John Macdissi Internal Medicine 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 2010-06-29
1568613305 Kelly Marie Barkmeier Occupational Therapist 1906 South 196th Street, Omaha, NE 68130 2008-10-09
1306009758 Melissa Sue Loseke Family Medicine 17021 Lakeside Hills Plz #200, Omaha, NE 68130 2008-07-07
1477724417 Denise L. Pollard Nurse Practitioner 17525 Gold Plaza Ste 116, Omaha, NE 68130 2008-03-18
1508053943 Omaha Family Medicine, P.C. Family Medicine 17841 Pierce Plz, Omaha, NE 68130 2007-10-01
1669672523 Jennifer L Liu Family Medicine 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 2007-07-19
Find all providers in zip 68130

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475375 Patrick Donald Heavey Physician Assistant 4660 Pine St, Omaha, NE 68106-2520 2020-10-22
1780297440 Tayler Marie Llewellyn Physician Assistant 17241 Oak Dr, Omaha, NE 68130-2428 2020-08-24
1154933992 Alexandria Rae Mctaggart Physician Assistant 5024 S 130th St, Omaha, NE 68137-1820 2020-08-22
1124651443 Kathryn A Kesti Physician Assistant 4242 Farnam St Ste 500, Omaha, NE 68131-2850 2020-02-14
1760014757 Timothy Shew Physician Assistant 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 2020-02-07
1083264303 Alicia K Clough Physician Assistant 15236 Westchester Dr, Omaha, NE 68154-2060 2019-09-18
1669935565 Taylor Elizabeth Hepp Physician Assistant 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 2019-04-09
1851895924 Mohammed Saeb Shakir Physician Assistant 7306 Ontario St, Omaha, NE 68124-3561 2018-03-22
1386162790 Anna Jean Sorrell Physician Assistant Emile St & S 42nd St, Omaha, NE 68198-4742 2017-09-06
1659804292 Kaitlyn Ann Boosalis Physician Assistant 4331 Mayberry St, Omaha, NE 68105-1711 2017-04-11
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68130

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Dataset Information

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.

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