MARY HALL (NPI# 1104285865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| 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 |
| Street Address |
16901 LAKESIDE HILLS CT ATTN: HOSPITAL MEDICINE |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2318 |
| 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 | ||||
| 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 Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 | ||||
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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.