DR. JERRY HALL (NPI# 1952361669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952361669 |
| Entity Type | Individual |
| Full Name | DR. JERRY HALL |
| Credential | M.D. |
| Practice Address |
1901 Sw H K Dodgen Loop Bldg 300 Temple TX 76502-1814 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547245437 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
J2046 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 1205320-06 | 01 |
| TX | 1205320-05 | 05 | |
| TX | BLUE SHIELD | 8S6323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154712297 | Jerry Hall | Hearing Instrument Specialist | 1226 N Concord Rd, Chattanooga, TN 37421-3849 | 2015-02-11 |
| 1073840955 | Jerry Clarence Hall | Social Worker | 657 Apple Street, Bowmanstown, PA 18030-0249 | 2009-11-12 |
| 1295761369 | Jerry Hall | Physician Assistant | 168 N Caseville Rd, Pigeon, MI 48755-9704 | 2006-06-23 |
| 1902844137 | Jerry K Hall | Emergency Medicine | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-06-02 |
| Street Address |
1901 SW H K DODGEN LOOP BLDG 300 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091585 | Jessica F Jester | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2017-02-09 |
| 1770035941 | Toni Sorensen | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-11-03 |
| 1790138378 | Brittany Eichhorn | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2016-07-19 |
| 1427408624 | Leah Gail Mathias | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-06-18 |
| 1407269277 | Sherline David | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-06-09 |
| 1023435278 | Aishwarya Raju | Psychiatry & Neurology | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-03-26 |
| 1487096947 | Larissa Lashelle Williams | Physician Assistant | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2013-07-25 |
| 1396004115 | Vanessa Marie Munoz Rivera | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2012-05-14 |
| 1558646349 | Nicholas William Mcgregor | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2011-10-12 |
| 1184908550 | Jamie Elizabeth Eichhorn | Pharmacist | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2011-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457570780 | Kimberly Macferran | Pediatrics | 2401 S 31st St, Temple, TX 76508-0001 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1508371824 | Kamvic Home Health Care LLC | Pediatrics | 21111 Barton Hollow Ln, Richmond, TX 77407-6416 | 2017-12-08 |
| 1962838458 | Sheri Michelle Ravenscroft | Pediatrics | 5359 N Ih 35 Frontage Rd, Ste 100, Austin, TX 78723-6300 | 2013-09-17 |
| 1467650564 | Charles Mike Rios | Pediatrics | 1100 S. Main St. #103, Grapevine, TX 76051 | 2007-07-10 |
| 1891908901 | Harold Mark Welch Jr. | Pediatrics | 3019 Medlin Dr, Suite 100, Arlington, TX 76015-2307 | 2007-05-07 |
| 1699987651 | Peter Campbell Ray | Pediatrics | 8300 Douglas Ave Ste 731, Dallas, TX 75225-5825 | 2007-05-03 |
| 1447384706 | Julie Jacob | Pediatrics | 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 | 2007-03-16 |
| 1134285430 | Jeri L Penkava | Pediatrics | 1370 Pantheon Way Ste 250, San Antonio, TX 78232-2290 | 2006-12-29 |
| 1598873135 | Beatrice Thetgyi Ting | Pediatrics | 3607 Rivera Ave, El Paso, TX 79905-2415 | 2006-08-25 |
| 1699718205 | Heidi A Castillo | Pediatrics | 6701 Fannin Street, Suite 1530, Houston, TX 77030 | 2006-06-13 |
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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.