MICAH D HALE D.O. NPI 1972506616

NPI Information

NPI: 1972506616
Provider Name: MICAH D HALE, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1390 MARKET ST STE 200
SAN FRANCISCO, CA
ZIP 94102
Phone: (877) 834-0008
Get Directions

Micah D Hale, D.O. is an addiction medicine family medicine in San Francisco, CA with 25 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Micah D Hale, D.O. NPI is 1972506616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1999

The provider's business location address is:

1390 MARKET ST STE 200
SAN FRANCISCO, CA
ZIP 94102-404
Phone: (877) 834-0008
Fax: (415) 558-1764

The NPI 1972506616 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 5/25/2005 and was last updated on 12/13/2022.

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
1	207P00000X	Emergency Medicine		20A8534	CALIFORNIA	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	005389	ARIZONA	No
3	207Q00000X	Family Medicine		20A8534	CALIFORNIA	No
4	207QA0401X	Family Medicine	Addiction Medicine	5389	ARIZONA	No
5	2083A0300X	Preventive Medicine	Addiction Medicine	5389	ARIZONA	No
6	2083A0300X	Preventive Medicine	Addiction Medicine	20A-8534	CALIFORNIA	No
7	207QA0401X	Family Medicine	Addiction Medicine	20A-8534	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1972506616	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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