1. Home
  2. Directory
  3. California
  4. South Lake Tahoe
  5. Physician Assistant
  6. NPI Profile

CORY T HALL PAC
NPI 1093706558
Physician Assistant in South Lake Tahoe, CA

Active since November 03, 2005
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150(530) 541-3100(530) 541-3016 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cory T Hall Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY T HALL PAC (NPI 1093706558) is an individual physician assistant in South Lake Tahoe, California, licensed in California (PA15806) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1093706558
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCORY T HALLCredential: PAC
Location Address1139 3RD STSouth Lake Tahoe, CA 96150-3465
Mailing AddressPo Box 529Zephyr Cove, NV 89448-0529 · (775) 588-8938 · Fax (775) 588-8930
Phone(530) 541-3100
Fax(530) 541-3016
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateNovember 16, 2007
✔ NPI 1093706558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA15806✔ Licensed in NV · PA678
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1139 3RD ST, South Lake Tahoe, CA 96150
Open in Google Maps ↗

Other Identifiers 4

OtherCC1490NV · Bcbs
Medicare PIN0PA158060CA
Medicare UPINS96096
Medicare PINV34734NV

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARIE STARR PA
Physician Assistant
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-3000
LAKE TAHOE ORTHOPAEDIC INSTITUTE
Durable Medical Equipment & Medical Supplies
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-3100
DANIELLE THERESA FIELD NP
Obstetrics & Gynecology
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5711
WILLIAM R SHEPARD DO
Surgery
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5691
KIMBERLY ANNE EVANS MD
Surgery
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5691
MEGAN F JEWELL MD
Obstetrics & Gynecology
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5711
ELISABETH NIGRINI MD
Obstetrics & Gynecology
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5711
MS. BRETT ERICA SIBLEY PA-C
Physician Assistant
1139 3RD ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Hall's NPI number?

The NPI number for Cory Hall is 1093706558. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Cory Hall located?

Cory Hall practices at 1139 3rd St, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3100.

What is Cory Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Cory Hall was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.