MATTHEW DAVID HALL


Address: 1 Pinckney Blvd, Beaufort, SC 29902-6122
Phone: 8432284771

MATTHEW DAVID HALL (NPI# 1144408501) 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) 1144408501
Entity Type Individual
Full Name MATTHEW DAVID HALL
Credential IDC
Practice Address 1 Pinckney Blvd
Beaufort
SC 29902-6122
Mailing Address 1 Pinckney Blvd
Naval Hospital Beaufort
Beaufort
SC 29902
Practice Telephone 8432284771
Mailing Telephone 8432284771
Enumeration Date 2008-02-07
Last Update Date 2008-02-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MATTHEW HALL

NPI Name Taxonomy Address Enumeration
1669927018 Matthew Hall Occupational Therapist 10212 Ravenscourt Dr Apt 207, Spotsylvania, VA 22553-4455 2016-08-15
1932581089 Matthew Hall General Practice 1232 Rigby Rd, Bancroft, ID 83217 2015-06-25
1437546389 Matthew Emery Hall Counselor 7000 W Britton Rd Apt 105, Oklahoma City, OK 73132-1705 2015-04-17
1841613734 Matthew Bradley Hall Dentist 19028 E 58th Ave, Denver, CO 80249-6787 2014-01-28
1962764522 Matthew Mcgillvray Hall Emergency Medicine One Deaconess Rd, W-cc2, Department of Emergency Medicine, Boston, MA 02215 2012-06-11
1659590040 Matthew Alan Hall Physical Therapist 328 S Woodscrest Dr, Bloomington, IN 47401-5314 2007-04-24
1922019595 Matthew B Hall Dentist 2045 Lee Rd, Winter Park, FL 32789-1836 2006-08-10
1710962220 Matthew D Hall Preventive Medicine 4200 Wilson Blvd, Suite 1100, Arlington, VA 22203-1800 2005-12-08
1972131530 Matthew Wayne Hall Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 2020-03-30
1639729692 Matthew Thomas Hall Nurse Practitioner 960 Mount Olive Rd, Gardendale, AL 35071-4655 2019-09-12

Office Location

Street Address 1 PINCKNEY BLVD
City BEAUFORT
State SC
Zip Code 29902-6122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457352643 Terry Lynn Elliott Family Medicine 1 Pinckney Blvd, Beaufort, SC 29902-6122 2005-08-10
1366042327 Selena Damiano Physician Assistant 1 Pinckney Blvd, Beaufort, SC 29902-6122 2020-10-29
1023620150 Duy Thien Vinh Truong Dentist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2020-08-19
1366060071 Christopher Taylor Davis Dentist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2020-07-09
1942828884 Abraham Kim Dentist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2020-07-07
1205468907 Maurice Jones Nurse Practitioner 1 Pinckney Blvd, Beaufort, SC 29902-6122 2020-02-10
1629610134 Alicia Lynn Weaver Dietitian, Registered 1 Pinckney Blvd, Beaufort, SC 29902-6122 2019-10-16
1710529995 Jules C Martowski Psychologist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2019-10-09
1053968784 John Claiborne Millar Dentist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2019-08-19
1043866049 Celeste Roberts Dentist 1 Pinckney Blvd, Beaufort, SC 29902-6122 2019-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063024578 Beaufort County Memorial Hospital Family Medicine Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 2020-08-18
1750992475 Fayth Polite Social Worker 2210 Salem Drive East, Beaufort, SC 29902 2020-08-14
1417509530 Andrew Grant Miner Dentist Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 2019-07-09
1376029777 Edward Dela Fuente Counselor Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 2018-07-18
1114440419 Kristin Webb Registered Nurse 607 Wilmington Street, Beaufort, SC 29902 2017-07-19
1326582081 Annemarie Gierling Gault Nurse Practitioner Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 2016-12-14
1114396579 Jacquelyn Faith Proulx Dentist 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 2015-09-16
1386028413 Howard Family Dental - Beaufort, Pllc Dentist 35 Robert Smalls Pkwy, Beaufort, SC 29902 2015-07-18
1598018103 Lisa Marie Johnson Occupational Therapist 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 2012-10-19
1134497860 Jeremy Michael Simmons Pharmacist 2127 Boundary Street, Suite 19, Beaufort, SC 29902 2011-12-08
Find all providers in zip 29902

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346619558 Matthew Shaun Woodruff Military Health Care Provider Post Office Box 66038, Marine Aircraft Group 31, Beaufort, SC 29904-6038 2015-09-17
1184827941 Matthew Barnhart Military Health Care Provider Mcas Branch Health Clinic, Beaufort, SC 29904-5020 2007-06-08
1730484486 Gerald Dickson Ramones Military Health Care Provider 1 Pinckney Blvd, Mcrd Parris Island, Bhc Parris Island, Beaufort, SC 29902-6122 2011-01-11
1194999185 Ernst Schettini Military Health Care Provider 1 Pinckney Blvd, Beaufort, SC 29902-6122 2008-04-22
1588690465 Michael Owen Congdon Military Health Care Provider 1 Pinckney Blvd, Beaufort, SC 29902-6122 2006-06-23
1871561274 Robert Lee Roseberry Military Health Care Provider 1 Pinckney Blvd, Beaufort, SC 29902-6122 2006-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700144821 Joshua William Crum Military Health Care Provider 7 Saddlemount Ln, Simpsonville, SC 29680-7056 2012-04-26
1114295052 Juan Camachoaclderon Military Health Care Provider 204 Maplewood Ridge, Summerville, SC 29483 2011-12-07
1467783506 Dennis Jason Green Military Health Care Provider 1050 Remount Rd, North Charleston, SC 29406-3544 2010-01-28
1861461667 Cheryl R Murphy Military Health Care Provider 669 Blvd De France, Branch Health Clinic, Parris Island, SC 29905-9501 2006-03-15
1164499513 Timothy Macon Military Health Care Provider 123 Sully St, Goose Creek, SC 29445-5447 2006-03-03
1932281102 Kelly Lynn Youngerman Military Health Care Provider 110 Nnptc Cir, Goose Creek, SC 29445-6314 2006-10-19
1922068147 Christopher Peterson Military Health Care Provider 3600 Rivers Ave, N Charleston, SC 29405-7747 2006-03-23
1023085008 Edwin Ray Lashley Military Health Care Provider Naval Hospital, 3600 Rivers Ave, N. Charleston, SC 29405 2006-03-08

Competitor

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City BEAUFORT
Zip Code 29902

Improve Information

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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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