Physician Compare National (NPI:1669470258)

HEALTHCARE PROVIDER: LUTHER DANIEL HALL DO

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

Individual Professional Information
NPI	1669470258
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375514474
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040804001462
	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	LUTHER
	Individual professional first name
Provider Middle Name	DANIEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
	Individual professional's medical school
Graduation Year	1994
	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
Organization Legal Name	IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8820902497
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10777 COUNTY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	PROCTORVILLE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	456698130
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7403020541
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y