DR. OTTO CHRISTIAN HALL (NPI# 1679579759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679579759 |
| Entity Type | Individual |
| Full Name | DR. OTTO CHRISTIAN HALL |
| Credential | D.P.M. |
| Practice Address |
7301 Hennessy Blvd #200 Baton Rouge LA 70808 |
| Mailing Address |
P.o. Box 98035 Baton Rouge LA 70898 |
| Practice Telephone | 2257660050 |
| Practice Fax Number | 2257661499 |
| Mailing Telephone | 2257660050 |
| Mailing Fax Number | 2257661499 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DPMLPD027R | LA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
LPD027R | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 13656612 | 05 | |
| LA | BLUE CROSS / BLUE SHEILD | 06461 | 01 |
| LA | 1365661 | 05 |
| Street Address |
7301 HENNESSY BLVD #200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255826194 | Adam Marshall | Specialist/Technologist | 7301 Hennessy Blvd, Baton Rouge, LA 70808-4793 | 2018-06-23 |
| 1659731024 | Carrie Oberlander | Nurse Practitioner | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4793 | 2016-02-29 |
| 1750784864 | Mark Hammonds | Physician Assistant | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2014-10-02 |
| 1154750818 | Steven Presley | Physician Assistant | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2013-11-04 |
| 1619318110 | Bridget Sellars | Nurse Practitioner | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2013-07-12 |
| 1528402013 | Candice Mixon | Physical Therapist | 7301 Hennessy Blvd, Suite 101, Baton Rouge, LA 70808-4384 | 2013-04-26 |
| 1770834475 | Carlen Sloan | Physician Assistant | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2012-09-21 |
| 1760731764 | Christian Jacomine | Physician Assistant | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2012-09-05 |
| 1518232909 | Jennifer West | Specialist/Technologist, Other | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2012-03-19 |
| 1669750444 | Chelsea Lynn Commander | Nurse Practitioner | 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | 2011-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1326306465 | Elina Douenias | Podiatrist | 10735 Linkwood Ct, Baton Rouge, LA 70810-2901 | 2012-04-26 |
| 1215184585 | Diabetic Foot Institute, LLC | Podiatrist | 5428 O'donovan Drive, Suite D, Baton Rouge, LA 70808 | 2008-08-19 |
| 1174703789 | Rosemarie Jack Caillier,dpm | Podiatrist | 5516 Superior Dr Ste A, Baton Rouge, LA 70816-8022 | 2007-11-12 |
| 1003820788 | Hieu Vuong | Podiatrist | 3851 S Sherwood Forest Blvd, Ste. 360, Baton Rouge, LA 70816-4361 | 2006-07-28 |
| 1568407658 | Foot Care & Surgery Clinic, Inc | Podiatrist | 7434 Picardy Ave, Suite A, Baton Rouge, LA 70808-4331 | 2006-06-20 |
| 1639146749 | Christopher B Formanek | Podiatrist | 6141 Parkforest Dr, Baton Rouge, LA 70816-6111 | 2006-03-07 |
| 1598757551 | Joseph Kemp Tullier | Podiatrist | 4860 Bluebonnet Blvd, Baton Rouge, LA 70809-9644 | 2005-08-16 |
| 1821098674 | Elizabeth S. Hawkins | Podiatrist | 7423 Picardy Ave Ste B, Baton Rouge, LA 70808-4362 | 2005-07-22 |
| 1801246186 | Carey Clifton | Podiatrist | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2016-06-16 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.