JEFFREY MAURICE HALL (NPI# 1609868496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609868496 |
| Entity Type | Individual |
| Full Name | JEFFREY MAURICE HALL |
| Credential | M.D. |
| Practice Address |
18245 E 10 Mile Rd Suite 130 Roseville MI 48066-5807 |
| Mailing Address |
29900 Lorraine Ave Suite 400 Warren MI 48093-5266 |
| Practice Telephone | 5867744200 |
| Practice Fax Number | 5867744201 |
| Mailing Telephone | 5865820864 |
| Mailing Fax Number | 5865820964 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
4301406147 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN # | JH406147 | 01 |
| MI | 4163461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376880732 | Jeffrey Wayne Hall | Chiropractor | 3604 Sawmill Dr, Austin, TX 78749-6948 | 2013-01-05 |
| 1053547042 | Jeffrey David Hall | Dentist | 420 S Broadway St Ste 104, Forest City, NC 28043-4092 | 2009-06-03 |
| 1528273067 | Jeffrey Warren Hall | Specialist | 2382 Sadler Rd, St 1, Fernandina Beach, FL 32034-4548 | 2007-05-10 |
| 1578616355 | Jeffrey W Hall | Chiropractor | 6923 39th Avenue, Kenosha, WI 53142-7129 | 2007-01-18 |
| 1912929365 | Jeffrey Hall | Anesthesiology | 8132 Cordova Rd, Cordova, TN 38016 | 2006-07-24 |
| 1154308765 | Jeffrey Wayne Hall | Family Medicine | 3209 Colonial Drive, Columbia, SC 29203 | 2005-12-23 |
| 1568467512 | Jeffrey P Hall | Podiatrist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2005-06-16 |
| 1740819580 | Jeffrey Robert Hall II | Student in an Organized Health Care Education/Training Program | 701 Park Ave South - Medicine, Minneapolis, MN 55415-1829 | 2020-04-03 |
| 1750861605 | Jeffrey Hall | Pharmacy Technician | 265 S Eagle Rd, Eagle, ID 83616-5907 | 2018-08-20 |
| 1265918098 | Jeffrey E Hall | Nurse Practitioner | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2018-07-16 |
| Street Address |
18245 E 10 MILE RD SUITE 130 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402078 | Mitchell Brian Schram | Occupational Therapist | 18245 E 10 Mile Rd, Roseville, MI 48066-5807 | 2018-10-09 |
| 1609216829 | Cube | Community/Behavioral Health | 18245 E 10 Mile Rd, Suite 140, Roseville, MI 48066-5807 | 2013-07-02 |
| 1740625508 | Mazin Mohi Deen | Internal Medicine | 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 | 2013-05-07 |
| 1356377501 | Dudley Roberts M.d, L.L.C. | Internal Medicine | 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 | 2006-06-22 |
| 1316910763 | Kerri Sue Gustafson | Dentist | 18245 E 10 Mile Rd, Suite 110, Roseville, MI 48066-5807 | 2006-02-08 |
| 1922094507 | Dudley Roberts IIi | Internal Medicine | 18245 E 10 Mile Rd, Roseville, MI 48066-5807 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334394 | Rajesh Bhagat Md PC | Surgery | 4020 S Vernoy, Wayne, MI 48184 | 2007-05-11 |
| 1932313558 | Avery A. Arora | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2007-05-10 |
| 1568476703 | Rajesh C Bhagat | Surgery | 19181 15 Mile Rd, Clinton Twp, MI 48035-2508 | 2006-07-27 |
| 1528003829 | Joseph F Looby | Surgery | 2540 Woodmeadow Dr Se, Grand Rapids, MI 49546-8050 | 2006-06-19 |
| 1396700761 | Daniel J Olsen | Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2006-04-19 |
| 1730160052 | Curtis S Young | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2005-11-14 |
| 1689163529 | Avery Arora, Md PC | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2018-05-07 |
| 1730403403 | Dong Wha Ohm Md PC | Surgery | 1085 S Linden Rd, Suite 100, Flint, MI 48532-3421 | 2010-03-24 |
| 1265660062 | Jeremy Ryan Ciullo | Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093 | 2009-06-30 |
| 1871795393 | Curtis S Young Md Plc | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
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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.