MR. CHARLES LA MAR HALL (NPI# 1912108481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912108481 |
| Entity Type | Individual |
| Full Name | MR. CHARLES LA MAR HALL |
| Credential | P.T. |
| Practice Address |
2407 E Sussex Way Suite 101 Fresno CA 93726-4034 |
| Practice Telephone | 5599078810 |
| Practice Fax Number | 5592278439 |
| Mailing Telephone | 5599078810 |
| Mailing Fax Number | 5592278439 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | P.T.5598 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PT LISENCE | 5598 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173512 | Charles Clark Hall I | Homemaker | 8210 Belle Vernon Dr, Novelty, OH 44072-9700 | 2020-10-29 |
| 1225695166 | Charles Hall | Counselor | 1201 Cambria St, Baltimore, MD 21225-2223 | 2019-05-28 |
| 1124459664 | Charles Hall | Orthotist | 2578 N Martin Luther King Dr, Milwaukee, WI 53212-2710 | 2013-12-10 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1164642443 | Charles W Hall | Pharmacist | Cooper Green Mercy Hospital Pharmacy, 1515 6th Ave So, Birmingham, AL 35233-1687 | 2007-04-27 |
| 1366554719 | Charles Roland Hall | Family Medicine | 207 Hall St, Bangs, TX 76823 | 2006-08-31 |
| 1386689412 | Charles Terry Hall | Dentist | Va Medical Center, Dental Clinic, 400 Veterans Ave, Biloxi, MS 39531 | 2006-06-20 |
| 1497702807 | Charles Daniel Hall | Psychiatry & Neurology | 610b Ocean Hwy W, Supply, NC 28462-4048 | 2006-05-30 |
| 1386637163 | Charles Scott Hall | Internal Medicine | 370 E Main St, Suite 5, Bay Shore, NY 11706-8415 | 2005-08-26 |
| 1770180671 | Charles Hall Iv | Pharmacist | 1636 Hendersonville Rd, Asheville, NC 28803-3197 | 2020-10-04 |
| Street Address |
2407 E SUSSEX WAY SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373694 | Eric Allen Lee | Chiropractor | 2407 E Sussex Way, Fresno, CA 93726-4035 | 2005-08-10 |
| 1154612703 | Sanjay Chauhan Md, Inc. | Non-Pharmacy Dispensing Site | 2407 E Sussex Way, Suite 107, Fresno, CA 93726-4034 | 2011-04-29 |
| 1699879940 | Sanjay Chauhan Md Inc | Psychiatry & Neurology | 2407 E Sussex Way, Ste 107, Fresno, CA 93726 | 2006-09-08 |
| 1205930559 | Sanjay Joseph Chauhan | Psychiatry & Neurology | 2407 E Sussex Way, Suite 107, Fresno, CA 93726 | 2006-09-08 |
| 1538275748 | Gigi Inc | Physical Therapist | 2407 E Sussex Way, Suite 101, Fresno, CA 93726 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720556970 | Pacific Medicl Center of Hope | Specialist | 1680 E Herndon Ave Ste 102, Fresno, CA 93720-3384 | 2018-11-06 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1528569571 | Dawn Cherie Jantzen | Specialist | 7339 North First Street, #110, Fresno, CA 93720 | 2018-02-26 |
| 1619324977 | Poindexter Reimbursement Group | Specialist | 1706 Carriage Run Ct, Fresno, TX 77545-8700 | 2016-05-17 |
| 1053702357 | James Edward Miller | Specialist | 2519 Shadow Oaks Dr, Fresno, TX 77545-6071 | 2015-02-09 |
| 1326440884 | Testosterone Optimization Program, Inc. | Specialist | 6085 N. First St., Suite 102, Fresno, CA 93710 | 2014-09-16 |
| 1598199325 | Anwer A Shaikh, M.d., Inc. | Specialist | 347 E Barstow Ave Suite 108, Fresno, CA 93710-5282 | 2013-08-28 |
| 1063759090 | Ani Thompson | Specialist | 585 W Nees Ave # 115, Fresno, CA 93711-6279 | 2013-01-10 |
| 1053657890 | Noel Joseph Smith | Specialist | 3161 W Kearney Blvd, Fresno, CA 93706-2214 | 2012-12-26 |
| 1164779344 | Vanade Billing Services | Specialist | 1311 N Teal Estates Cir, Fresno, TX 77545-9679 | 2012-08-07 |
| Find all providers in FRESNO | ||||
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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.