TIFFANY S HALL PA-C
NPI 1205012424
Physician Assistant in Blaine, MN

Active since January 17, 2008
1500 109TH AVE NE, BLAINE, MN 55449(763) 421-5011 Get Directions Write a Review

NPPES record last updated: January 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2019, Oct 30, 2017 (2 updates tracked since 2017).

About Tiffany S Hall Pa-c NPPES

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

TIFFANY S HALL PA-C (NPI 1205012424) is an individual physician assistant in Blaine, Minnesota, licensed in Minnesota (10653) and active in the NPI registry since January 2008. She maintains a secondary practice location in Blaine.

NPPES Registry Identity

NPI1205012424
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY S HALLCredential: PA-C
Location Address1500 109TH AVE NEBlaine, MN 55449
Mailing Address1500 109th Ave NeBlaine, MN 55449-4670 · (763) 421-5011
Sole ProprietorNo
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJanuary 20, 20192 updates tracked since enumeration
NPI 1205012424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10653
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.

1500 109TH AVE NE, Blaine, MN 55449

Other Names 1

Former Name (1)Tiffany S Kalar

Secondary Practice Location 1

Location 11500 109th Ave NEBlaine, MN 55449-4670 · Phone (763) 421-5011

Other Providers at the Same Location NPPES 16

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

Pharmacist
1500 109TH AVE NE, T-1832
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE, T-1832
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE, T1832
BLAINE, MN 55449
Optometrist
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacy
1500 109TH AVE NE
BLAINE, MN 55449

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205012424, enumerated as an "individual" on January 17, 2008.

The provider is located at 1500 109TH AVE NE BLAINE, MN 55449 and the phone number is (763) 421-5011.

Physician Assistant with taxonomy code 363A00000X.