TRACY L HALL (NPI# 1659366102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659366102 |
| Entity Type | Individual |
| Full Name | TRACY L HALL |
| Credential | D.O. |
| Practice Address |
201 Health Care Dr Greenville IL 62246-1155 |
| Mailing Address |
200 Health Care Dr Greenville IL 62246-1154 |
| Practice Telephone | 6186641380 |
| Practice Fax Number | 6186644239 |
| Mailing Telephone | 6186641380 |
| Mailing Fax Number | 6186644239 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036083073 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036083073 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639365455 | Tracy Tina Hall | Specialist | 8302-10 South Paulina, Chicago, IL 60620 | 2007-09-16 |
| 1356489090 | Tracy Lee Hall | Speech-Language Pathologist | 19615 Sandsbury Ct, Land O Lakes, FL 34638-8021 | 2007-02-02 |
| 1770192288 | Tracy J Hall | Registered Nurse | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-07-30 |
| 1134572837 | Tracy Hall | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1336445824 | Tracy Daniel Hall | Marriage & Family Therapist | 4555 Trousdale Dr, Nashville, TN 37204-4513 | 2011-02-01 |
| 1184934010 | Tracy Elizabeth Hall | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2010-10-13 |
| 1447560545 | Tracy Hall | Case Manager/Care Coordinator | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2010-10-07 |
| 1104138544 | Tracy L Hall | Registered Nurse | 39 Duncan St, Warsaw, NY 14569-1017 | 2010-07-13 |
| 1174788301 | Tracy Hall | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2008-07-28 |
| 1548427941 | Tracy Denise Hall | Nurse Practitioner | 2 Medical Plaza Dr Ste 225, Roseville, CA 95661-3044 | 2008-05-22 |
| Street Address |
201 HEALTH CARE DR |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000908 | Boyd A. Mccracken | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-08-17 |
| 1770936692 | Bavithira Abivarshia Devasenathipathy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246 | 2016-07-15 |
| 1700291911 | Hannah Elizabeth Strong | Pediatrics | 201 Health Care Dr, Greenville, IL 62246-1155 | 2014-06-25 |
| 1255751129 | Susan Hohlt | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2014-04-18 |
| 1881030682 | Amanda E Ennen | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2013-05-20 |
| 1356648331 | Julie M Doll | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2011-02-28 |
| 1598759201 | John Kersey Dawdy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| 1326032046 | Anne Elizabeth Borwick | Internal Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
| 1932298825 | Joseph Armen | Family Medicine | 1001 East 5th St., Greenville, NC 27858-4353 | 2006-10-11 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1750608980 | St. Francis Physician Services Inc | Family Medicine | 2 Innovation Dr, Suite 250, Greenville, SC 29607-5261 | 2010-04-28 |
| 1669517967 | Wesley G Merriwether | Family Medicine | 131 Commonwealth Dr, Suite 200, Greenville, SC 29615-4883 | 2007-02-21 |
| 1699864488 | Kirtida Patel | Family Medicine | 1913 E Fire Tower Rd, Greenville, NC 27858-4126 | 2006-10-12 |
| 1598718934 | Kyle James Cassas | Family Medicine | 200 Patewood Dr, Suite C 100, Greenville, SC 29615-3593 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.