MARY JEAN HALL (NPI# 1265506448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265506448 |
| Entity Type | Individual |
| Full Name | MARY JEAN HALL |
| Credential | MEDICAL DOCTOR |
| Practice Address |
1000 Mon Health Medical Park Dr Suite 1100 Morgantown WV 26505-1104 |
| Mailing Address |
Po Box 1615 Morgantown WV 26507-1615 |
| Practice Telephone | 3045991448 |
| Practice Fax Number | 3045987219 |
| Mailing Telephone | 3042853679 |
| Mailing Fax Number | 3042853694 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20379 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 001712123 | 01 | |
| WV | 2004673000 | 05 | |
| WV | RAILROAD | P01617603 | 01 |
| 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 |
1000 MON HEALTH MEDICAL PARK DR SUITE 1100 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189766 | Andrzej J Jaworski | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-01-25 |
| 1710140298 | Rime Abbas | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2008-07-06 |
| 1033292339 | Jerome Gordon Johnson | Surgery | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-10-23 |
| 1649353855 | Mark Leo Johnson | Surgery | 1000 Mon Health Medical Park Dr, Ste 1100, Morgantown, WV 26505-1104 | 2006-10-23 |
| 1730100132 | Faisal A Bukeirat | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285876011 | Zachary Allen Zinn | Dermatology | 1 Stadium Dr Ste 3, Morgantown, WV 26506-7900 | 2009-03-25 |
| 1356415533 | Kenneth F Hardy Jr. | Dermatology | 1311 Pineview Drive, Suite 200, Morgantown, WV 26505 | 2006-11-20 |
| 1114091287 | William Lloyd Hall | Dermatology | 400 Drummond Street, Morgantown, WV 26505-3320 | 2006-11-20 |
| 1013991355 | Michele M Maouad | Dermatology | 600 Suncrest Town Centre Dr Ste 115, Morgantown, WV 26505-1873 | 2005-11-30 |
| 1669771994 | Erica Renee Ghareeb | Dermatology | 1 Medical Center Drive, Morgantown, WV 26506 | 2011-03-25 |
| 1760686927 | Rola Michelle Gharib | Dermatology | 600 Suncrest Town Centre Dr Ste 115, Morgantown, WV 26505-1873 | 2007-06-12 |
| 1114132867 | Dermatology Center for Skin Health | Dermatology | 600 Suncrest Town Centre Dr Ste 115, Morgantown, WV 26505-1873 | 2007-05-14 |
| 1841402534 | Hall & Hall Dermatology Associates Pllc | Dermatology | 400 Drummond Street, Morgantown, WV 26505-3320 | 2007-05-04 |
| 1639231087 | David Charles Carlisle | Dermatology | 165 Scott Ave, Suite 100, Morgantown, WV 26508-8847 | 2006-12-14 |
| 1457465932 | Roxann L Powers | Dermatology | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-19 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MARY JEAN HALL.
| 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.