JOHN R HALL (NPI# 1578569612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578569612 |
| Entity Type | Individual |
| Full Name | JOHN R HALL |
| Credential | MD |
| Practice Address |
321 W Promenade St Mexico MO 65265-2719 |
| Practice Telephone | 5735821234 |
| Practice Fax Number | 5735821212 |
| Mailing Telephone | 5735821234 |
| Mailing Fax Number | 5735821212 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
110843 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203970900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708906 | John Hall | Non-emergency Medical Transport (VAN) | 1 Pasadena Dr, Fairview Heights, IL 62208-1915 | 2019-03-03 |
| 1053822718 | John L Hall | Counselor | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2017-10-20 |
| 1548790819 | John Hall | Behavior Technician | 2373 Se Surrey Pl, Port St Lucie, FL 34952-7360 | 2017-06-19 |
| 1265803100 | John Hall | Counselor | 2010 S Burnside Ave, Suite B, Gonzales, LA 70737 | 2015-10-19 |
| 1285048025 | John Martin Hall | Podiatrist | 1421 S Glenburnie Rd # D, New Bern, NC 28562 | 2014-06-19 |
| 1275958878 | John Hall | Physical Therapy Assistant | 505 Lopax Rd, Harrisburg, PA 17112-4337 | 2014-02-19 |
| 1417213091 | John Davis Hall | Licensed Practical Nurse | 166 Grace St, Syracuse, NY 13204-3602 | 2012-04-08 |
| 1992913099 | John Louis Hall Sr. | Counselor | 18106 Temple Hill Lane, Cypress, TX 77429-4273 | 2007-05-21 |
| 1467673764 | John Edward Hall | Dentist | 2128 Oak Grove Rd, Hattiesburg, MS 39402-1572 | 2007-05-02 |
| 1669699898 | John David Hall | Chiropractor | 616 N Beacon Blvd, Grand Haven, MI 49417-1193 | 2007-04-19 |
| Street Address |
321 W PROMENADE ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327641 | Virginia J Caputy | Social Worker | 321 W Promenade St, Mexico, MO 65265 | 2005-06-21 |
| 1023388626 | Mary D Crews | Counselor | 321 W Promenade St, Mexico, MO 65265-2719 | 2012-01-12 |
| 1073818746 | Paula Reecht | Social Worker | 321 W Promenade St, Mexico, MO 65265-2719 | 2011-01-11 |
| 1649441452 | Alicia Marie Reichert | Counselor | 321 W Promenade St, Mexico, MO 65265-2719 | 2008-03-19 |
| 1477731545 | John H Payne | Social Worker | 321 W Promenade St, Mexico, MO 65265-2719 | 2008-01-31 |
| 1033268768 | Erma Johnmeyer-schutte | Nurse Practitioner | 321 W Promenade St, Mexico, MO 65265-2719 | 2007-01-10 |
| 1003970849 | Ahsan Syed | Psychiatry & Neurology | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-12-19 |
| 1083791792 | Sarmistha Bhalla | Psychiatry & Neurology | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-11-01 |
| 1346323870 | Jennifer Elaine Brockman | Psychiatry & Neurology | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-10-20 |
| 1316995533 | Michael Hayes Gordon | Social Worker | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
| 1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
| 1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
| 1912293861 | Barbara Buchanan | Psychiatry & Neurology | 16760 S Village Dr, Village of Loch Lloyd, MO 64012-4166 | 2011-06-20 |
| 1710187539 | Danielle Mcgovern Bradshaw | Psychiatry & Neurology | 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 | 2007-07-19 |
| 1689881567 | Pearl Fisher Serota | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-05-17 |
| 1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
| 1649325390 | Clifton A Smith | Psychiatry & Neurology | 5931 S Highway 94, Weldon Spring, MO 63304-5611 | 2007-01-24 |
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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.