Timothy S Hall (NPI# 1922012194, PAC ID# 5799767075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1922012194 |
| PAC ID by PECOS | 5799767075 |
| Professional Enrollment ID | I20130417000646 |
| Full Name | Timothy S Hall |
| Organization Legal Name | MEMORIAL HOSPITAL |
| Address |
1025 Michigan Ave Suite 115 Logansport IN 46947-1665 |
| Phone Number | 5747223566 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8123923281 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150072 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1025 Michigan Ave, Suite 115, Logansport, IN 46947-1665 | 5747223566 | MEMORIAL HOSPITAL |
| Organization Legal Name | MEMORIAL HOSPITAL |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Larson | Internal Medicine | Memorial Hospital | 826 W King St, Memorial Medical Associates, Owosso, MI 48867-2120 |
| Jan T Liu | Family Medicine | Memorial Hospital | 3337 Britton Rd, Perry, MI 48872-9706 |
| Amanda Brooke Ariss | Nurse Practitioner | Memorial Hospital | 9099 E Lansing Rd B, Durand Urgent Care, Durand, MI 48429-1083 |
| Kimberly S Macdermott | Nurse Practitioner | Memorial Hospital | 3073 White Mountain Hwy, No Conway, NH 03860-7101 |
| Malena I Forgach | Physician Assistant | Memorial Hospital | 9099 E Lansing Rd A, Durand, MI 48429-1083 |
| Ali Saeed | Neurology | Memorial Hospital | 9000 Peet Rd, Chesaning, MI 48616-1752 |
| Tarek R Pacha | Urology | Memorial Hospital | 503 E Main St, Memorial Healthcare Urology Owosso, Owosso, MI 48867-3140 |
| Narender R Thatikonda | Internal Medicine | Memorial Hospital | 9900 W M 21, 101 Ovid Elsie Primary Care, Ovid, MI 48866-9798 |
| Ira Stanley Frye | Obstetrics/gynecology | Memorial Hospital | 1457 N M 52, 2 Memorial Healthcare Ob/gyn Owosso, Owosso, MI 48867-1519 |
| Vivek S Sahgal | Internal Medicine | Memorial Hospital | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1585 |
| Street Address |
1025 MICHIGAN AVE SUITE 115 |
| City | LOGANSPORT |
| State | IN |
| Zip | 46947-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey L Shilts | Qualified Audiologist | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| Alan J Anthony | Dermatology | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| David G Short | Otolaryngology | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| Jessica Y Mcclintock Glover | Obstetrics/gynecology | Memorial Hospital | 1025 Michigan Ave, Suite 115, Logansport, IN 46947-1665 |
| Amy L Austin | Obstetrics/gynecology | Memorial Hospital | 1025 Michigan Ave, Suite 115, Logansport, IN 46947-1665 |
| Shannon M Davis | General Surgery | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| William B Murray | Obstetrics/gynecology | Memorial Hospital | 1025 Michigan Ave, Suite 115, Logansport, IN 46947-1665 |
| Michael J Lalla | General Surgery | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| Stephen David Beck | Urology | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| Jan L Hoover | Nurse Practitioner | Memorial Hospital | 1025 Michigan Ave, Suite 215, Logansport, IN 46947-1594 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunita T Kaul | Anesthesiology | Northstar Anesthesia of Indiana II LLC | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Pamela L Watterson | Clinical Social Worker | Memorial Hospital | 1101 Michigan Ave, Suite 10, Logansport, IN 46947-1528 |
| Marina Weinstein | Hospitalist | Memorial Hospital | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Kral Varhan | Orthopedic Surgery | Memorial Hospital | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Cory S Neumann | Family Medicine | Memorial Hospital | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| James R Rudolph | Emergency Medicine | Nes of Sandusky Inc | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Ganeshan Ramachandran | Orthopedic Surgery | Memorial Hospital | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Beth A Hershberger | Nurse Practitioner | Memorial Hospital | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| John B Zimmerer | Anesthesiology | Northstar Anesthesia of Indiana II LLC | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Timothy J Hodgini | Family Medicine | Nes of Sandusky Inc | 1101 Michigan Ave, Logansport, IN 46947-1528 |
| Find all physicians in zip 46947 | |||
| City | LOGANSPORT |
| Zip Code | 46947 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LOGANSPORT + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.