TIMOTHY JAMES HALL NPI 1679313605

NPI Information

  • NPI: 1679313605
  • Provider Name: TIMOTHY JAMES HALL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1050 FORRER BLVD STE 250
    KETTERING, OH
    ZIP 45420
  • Phone: (800) 986-4801

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NPI Details

Timothy James Hall is a family nurse practitioner in Kettering, OH with 3 years of experience. Timothy James Hall NPI is 1679313605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 FORRER BLVD STE 250
KETTERING, OH
ZIP 45420-640
Phone: (800) 986-4801
Fax: (937) 684-9990

The NPI 1679313605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2024 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0037300OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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