SUSAN DELAINE HALL (NPI# 1699718429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699718429 |
| Entity Type | Individual |
| Full Name | SUSAN DELAINE HALL |
| Credential | P.A.C. |
| Practice Address |
3901 N Navarro St Victoria TX 77901-2622 |
| Practice Telephone | 3615730713 |
| Practice Fax Number | 3615752215 |
| Mailing Telephone | 3615730713 |
| Mailing Fax Number | 3615752215 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03733 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8Y3479 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650558 | Susan J. Hall | Psychologist | 89 Cortland Ave, Hicksville, NY 11801-4654 | 2012-08-29 |
| 1043521271 | Susan E Hall | Speech-Language Pathologist | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-22 |
| 1184816860 | Susan Grace Hall | Counselor | 723 W Highway 71, Office-c, Smithville, TX 78957-5751 | 2007-08-15 |
| 1417009804 | Susan Ruth Hall | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2007-01-17 |
| 1578649067 | Susan Hall | Family Medicine | 432a West J Street, Tehachapi, CA 93561 | 2006-10-27 |
| 1598871667 | Susan Paige Hall | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-08-22 |
| 1356969265 | Susan Mccall Hall | Nurse Practitioner | 2212 S 17th St, Wilmington, NC 28401-7515 | 2020-07-07 |
| 1689291718 | Susan Marie Hall | Counselor | 200 1st Ave W Ste 400, Seattle, WA 98119-4219 | 2020-07-06 |
| 1962970848 | Susan Teresa Hall | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2018-11-08 |
| 1578031019 | Susan Hall | Speech-Language Pathologist | 4405 Evans To Locks Rd Ste C, Evans, GA 30809-3737 | 2018-11-02 |
| Street Address |
3901 N NAVARRO ST |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701318 | Robert E. Harvey, Md, Pa | Allergy & Immunology | 3901 N Navarro St, Victoria, TX 77901 | 2005-12-20 |
| 1407406051 | Katie Nadine Olson | Registered Nurse | 3901 N Navarro St, Victoria, TX 77901-2622 | 2019-09-16 |
| 1841236106 | Krishna Gullapalli | Allergy & Immunology | 3901 N Navarro St, Victoria, TX 77901-2622 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1790216547 | Jenna Denise Darilek | Physician Assistant | 2705 Hospital Dr Ste 100, Victoria, TX 77901-5776 | 2017-03-23 |
| 1689950891 | Albert Juarez Jr. | Physician Assistant | 602 Berkshire Ln, Victoria, TX 77904-1775 | 2011-11-01 |
| 1437437845 | Brooke Buckentine Simones | Physician Assistant | 2420 Heron Ln, Victoria, MN 55386-4558 | 2011-08-02 |
| 1215943055 | Athena Bevette Baldwin | Physician Assistant | 2701 Hospital Drive, Citizen's Medical Center Ed, Victoria, TX 77901 | 2006-08-01 |
| 1508379082 | Rebecca Ware Copeland | Physician Assistant | 106 Springwood Dr Ste 100, Victoria, TX 77904-3394 | 2017-11-07 |
| 1013466127 | Courtney Thompson | Physician Assistant | 605 E San Antonio St Ste 520e, Victoria, TX 77901 | 2016-09-30 |
| 1003261744 | Sherri S Mccall-kyle | Physician Assistant | 2705 Hospital Dr, Suite 100, Victoria, TX 77901-5775 | 2016-05-02 |
| 1659794667 | Taylar Brooke Hayden | Physician Assistant | 605 E San Antonio St Ste 520e, Victoria, TX 77901-6086 | 2014-01-27 |
| 1265853659 | Oleander Physician Services Pa | Physician Assistant | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2014-01-02 |
| Find all providers in VICTORIA | ||||
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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.