Provider Demographics
NPI:1700860004
Name:HALL, ROBIN TATE (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:TATE
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2151 OLD ROCKY RIDGE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7251
Mailing Address - Country:US
Mailing Address - Phone:205-989-1080
Mailing Address - Fax:205-989-1087
Practice Address - Street 1:1912 ALABAMA HWY 157
Practice Address - Street 2:CULLMAN REGIONAL MEDICAL CENTER
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0000
Practice Address - Country:US
Practice Address - Phone:256-737-2638
Practice Address - Fax:256-734-6257
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2018-04-03
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Provider Licenses
StateLicense IDTaxonomies
ALMD.12965207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3124OtherHEALTHSPRING OF ALABAMA
050010504OtherTRAVELERS MEDICARE
2010168OtherUNITED HEALTHCARE NETWORK
631003288OtherTRICARE (GROUP)
2451622001OtherCIGNA EMPLOYER BENEFIT
81812OtherCOMMERCIAL INS CO
AL3124OtherMERIT HEALTH PLAN OF AL
2010168OtherUNITED HEALTHCARE MEDIC
293958OtherFEDERAL BLACK LUNG PROG
3124OtherHEALTH STRATEGIES INC
051081812OtherBLUE CROSS BLUE SHIELD
81812OtherWORKERS COMP
AL81812Medicaid
C70109OtherVIVA HEALTH
C70109Medicare UPIN
AL81812Medicaid