ELIZABETH O'BRIANT HALL (NPI# 1811193998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811193998 |
| Entity Type | Individual |
| Full Name | ELIZABETH O'BRIANT HALL |
| Credential | PA |
| Practice Address |
2001 Crystal Spring Ave Sw Ste 203 Roanoke VA 24014 |
| Mailing Address |
2001 Crystal Spring Ave Sw Ste 203 Roanoke VA 24014-2465 |
| Practice Telephone | 5409828204 |
| Practice Fax Number | 5402241059 |
| Mailing Telephone | 5409828204 |
| Mailing Fax Number | 5402241059 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9102712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003212 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 127 Mcclanahan St Sw, Suite 300, Roanoke, VA 240141728 | 5409828204 | 5403423945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058406 | Elizabeth Marie Hall | Nurse Practitioner | 1331 Wynnewood Dr, West Palm Beach, FL 33417-5641 | 2019-05-18 |
| 1740661651 | Elizabeth Hall | Counselor | 15 Maple Dell, Suite 3, Saratoga Springs, NY 12866-1286 | 2015-06-16 |
| 1396154217 | Elizabeth Marie Hall | Social Worker | 7224 Hammet Rd, Tampa, FL 33647-1205 | 2014-08-05 |
| 1588076095 | Elizabeth Renee Hall | Contractor | 201 Sw 5th St, Grants Pass, OR 97526-2401 | 2014-06-02 |
| 1053619197 | Elizabeth Buckley Hall | Pharmacist | 11855 Jones Bridge Rd, Alpharetta, GA 30005-5042 | 2011-03-13 |
| 1336459221 | Elizabeth Anne Hall | Pediatrics | 21931 E 9 Mile Rd, Saint Clair Shores, MI 48080-2906 | 2010-10-14 |
| 1457660565 | Elizabeth D Hall | Nurse Practitioner | 2410 Franklin Rd, Nashville, TN 37204-2227 | 2010-10-07 |
| 1134379738 | Elizabeth Jill Hall | Occupational Therapist | 850 Baxter Boulevard, Portland, ME 04103 | 2008-09-19 |
| 1124281126 | Elizabeth Signor Hall | Licensed Practical Nurse | 7759 W Ridge Rd, Elyria, OH 44035-1955 | 2008-07-09 |
| 1770700312 | Elizabeth Adair Hall | Occupational Therapist | 1926 Chattanooga Pl, Ste A, Upper Extremity Specialist, Dallas, TX 75235 | 2007-04-18 |
| Street Address |
2001 CRYSTAL SPRING AVE SW STE 203 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948128 | Terrence P. May | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2005-08-02 |
| 1265914378 | Ashley Ann Groner | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2018-09-05 |
| 1265708457 | Matthew Daniel Roby | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2012-04-01 |
| 1154558658 | Richard C Massaro | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2009-06-11 |
| 1063675288 | Rahul Sharma | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2008-07-08 |
| 1841467735 | Ali M Hama Amin | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2008-05-11 |
| 1699811430 | Matthew Schumaecker | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2007-01-29 |
| 1003823329 | Daniel Frank Pauly | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-08-01 |
| 1962436444 | Stephen G Phillips | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-07-10 |
| 1508825092 | Gregory J. Dehmer | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796749 | Rebecca Marie Swanson | Physician Assistant | 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 | 2018-10-22 |
| 1154475267 | Wilton Craig Kennedy | Physician Assistant | 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | 2007-01-23 |
| 1760567481 | Jason Eric Bailey | Physician Assistant | 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 | 2006-10-25 |
| 1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
| 1225099773 | Lucia Maria Kulhavy | Physician Assistant | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2006-03-31 |
| 1386613164 | Sharon Anne Crookshanks | Physician Assistant | 4461 Starkey Rd Ste 201, Roanoke, VA 24018 | 2006-03-15 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275197980 | Rashadah Jordan | Physician Assistant | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2019-04-29 |
| 1629561402 | Emily Marquina | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-06-07 |
| 1164930046 | Laura Buennemeyer | Physician Assistant | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2018-01-13 |
| Find all providers in ROANOKE | ||||
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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.