Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101240341 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101240341 | VA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101240341 | VA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101240341 | VA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 0101240341 | VA |
NPI | 1750459558 |
---|---|
Provider Name | Dr. Christian Carson Hall |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 14/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044181300 | (05) | MD |
102617441 | (05) | PA |
1600751 | GATEWAY (01) | PA |
2638832 | HIGHMARK BLUE SHIELD (01) | PA |
30101168 | AMERIHEALTH MERCY-WMG (01) | PA |
417221 | UPMC (01) | PA |