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NPI Code Detail

MEDICARE: JEFFREY A HALL MD

MEDICARE: JEFFREY A HALL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician35084011OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000542267OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134129695
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A HALL MD
Provider Business Mailing Address
First Line : 1810 MACKENZIE DR FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2967
Country : US
Telephone Number : 614-273-2250
Fax Number : 614-273-2255
Provider Business Practice Location Address
First Line : 974 BETHEL RD STE A
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2467
Country : US
Telephone Number : 614-538-2424
Fax Number : 614-538-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 10/11/2023

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