David A Hall (NPI# 1902948516, PAC ID# 9133189616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902948516 |
| PAC ID by PECOS | 9133189616 |
| Professional Enrollment ID | I20080723000691 |
| Full Name | David A Hall |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Address |
214 N Main St Riggins ID 83549-9998 |
| Phone Number | 2086283666 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618127994 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131312 | ST LUKE'S MCCALL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 State St, Mccall, ID 83638-3704 | 2086344061 | ST LUKES CLINIC-MCCALL LLC |
| 200 Forest St, Mccall, ID 83638-5256 | 2086302470 | ST LUKES CLINIC-MCCALL LLC |
| 209 Forest St, Mccall, ID 83638-5256 | 2086371776 | ST LUKES CLINIC-MCCALL LLC |
| 211 Forest St, Mccall, ID 83638-5256 | 2086342225 | ST LUKES CLINIC-MCCALL LLC |
| 214 N Main St, Riggins, ID 83549-9998 | 2086283666 | ST LUKES CLINIC-MCCALL LLC |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Beaman | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Jacob Wilson | Clinical Social Worker | St Lukes Clinic-mccall LLC | 301 Deinhard Ln, Mccall, ID 83638-4703 |
| Patrick O Kinney | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Marcia L Witte | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Todd J Arndt | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| David G Burica | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Nicole D Rota | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Caitlin J Gustafson | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Megan K Fitzmaurice | Nurse Practitioner | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Jennifer K Lewis | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Street Address |
214 N MAIN ST |
| City | RIGGINS |
| State | ID |
| Zip | 83549-9998 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Forman | Physical Therapy | Integrative Therapeutics, Inc. | 214 N Main St, Suite 201, Natick, MA 01760-1131 |
| Clifford George Allen Ii | Podiatry | 214 N Main St, 203 Office, Sand Springs, OK 74063-7652 | |
| Jennifer L Richards Little | Physical Therapy | Integrative Therapeutics, Inc. | 214 N Main St, Suite 201, Natick, MA 01760-1131 |
| Rachelle J Hamell | Nurse Practitioner | St Lukes Clinic-mccall LLC | 214 N Main St, Riggins, ID 83549-9998 |
| Michael M Ward | Chiropractic | 214 N Main St, Ward Chiropractic, West Bridgewater, MA 02379-1251 | |
| Sara P Hinteregger | Physical Therapy | Integrative Therapeutics, Inc. | 214 N Main St, Suite 201, Natick, MA 01760-1131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna R Jungert | Clinical Social Worker | 1015 S Main St, Riggins, ID 83549 |
| City | RIGGINS |
| Zip Code | 83549 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RIGGINS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David A Hall.
| 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.