Physician Compare National (NPI:1265566145)

HEALTHCARE PROVIDER: ROGER CHARLES HALL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265566145
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325163793
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100909000409
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALL
	Individual professional last name
Provider First Name	ROGER
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	89 HOSPITAL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	AUGUSTA
	Group Practice or individual's city
State	ME
	Group Practice or individual's state
Zip Code	043306653
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2076221836
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	200039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAINE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y