Provider Demographics
NPI:1326146531
Name:HALL, CAROLINE ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4240
Mailing Address - Fax:717-848-5520
Practice Address - Street 1:2050 S QUEEN ST
Practice Address - Street 2:STE 100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4829
Practice Address - Country:US
Practice Address - Phone:717-812-4240
Practice Address - Fax:717-848-5520
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD445943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30122095OtherAMERIHEALTH MERCY - QUEST
PA418682OtherUPMC
PA2710421OtherHIGHMARK BLUE SHIELD
PA102720943Medicaid
PAP009972OtherGATEWAY
PA30122076-DOVEROtherAMERIHEALTH MERCY - WMG
PA30122076-DOVEROtherAMERIHEALTH MERCY - WMG
PA418682OtherUPMC