MEDICARE: TIFFANY N 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	207V00000X	Obstetrics & Gynecology Physician	35073597	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	160056982	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000275786	OTHER	OH	ANTHEM
2	7359701	OTHER	OH	CHOICE CARE
4	2575691	OTHER	OH	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	9307074001	OTHER	OH	CIGNA
7	0720343	OTHER	OH	JF MOLLOY
8	0702920	OTHER	OH	UHC

General Provider Information

NPI Number	:	1659377059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY N HALL MD

Provider Business Mailing Address
First Line	:	10506 MONTGOMERY RD STE 504
Second Line	:
City	:	MONTGOMERY
State	:	OH
Zip	:	45242-4400
Country	:	US
Telephone Number	:	513-221-3800
Fax Number	:	513-682-4520

Provider Business Practice Location Address
First Line	:	10506 MONTGOMERY RD STE 504
Second Line	:
City	:	MONTGOMERY
State	:	OH
Zip	:	45242-4400
Country	:	US
Telephone Number	:	513-221-3800
Fax Number	:	513-682-4520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/14/2023

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Directions to “ TIFFANY N HALL MD” Practice Location

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