MEDICARE: JAMES 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1083680631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES HALL, MD

Provider Business Mailing Address
First Line	:	9200 MONTGOMERY RD
Second Line	:	SUITE 7B
City	:	CINCINNATI
State	:	OH
Zip	:	45242-7789
Country	:	US
Telephone Number	:	513-791-1161
Fax Number	:	513-791-7226

Provider Business Practice Location Address
First Line	:	9200 MONTGOMERY RD
Second Line	:	SUITE 7B
City	:	CINCINNATI
State	:	OH
Zip	:	45242-7789
Country	:	US
Telephone Number	:	513-791-1161
Fax Number	:	513-791-7226

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES HALL
Credential	:	MD
Telephone Number	:	513-791-1161

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	10/23/2007

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