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JACK E HALL PA
NPI 1619284239
Physician Assistant - Medical in Pueblo West, CO

Active since September 02, 2010
121 S CRESCENT DR, PUEBLO WEST, CO 81007(719) 595-7575(719) 547-8368 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack E Hall Pa NPPES

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

JACK E HALL PA (NPI 1619284239) is an individual medical provider in Pueblo West, Colorado, licensed in Colorado (535) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1619284239
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACK E HALLCredential: PA
Location Address121 S CRESCENT DRPueblo West, CO 81007-5434
Mailing AddressPo Box 560825Denver, CO 80256-0825 · (719) 595-7580 · Fax (719) 545-0176
Phone(719) 595-7575
Fax(719) 547-8368
Sole ProprietorNo
Enumeration DateSeptember 2, 2010
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1619284239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 535
121 S CRESCENT DR, Pueblo West, CO 81007
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Other Identifiers 1

Medicaid63254808CO

Other Providers at the Same Location NPPES 7

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

EMI NIDER PA-C
Physician Assistant
121 S CRESCENT DR
PUEBLO, CO 81007
Pueblo County (719) 595-7575
DANA RANSOM BENNETT M.D.
Family Medicine
121 S CRESCENT DR
PUEBLO WEST, CO 81007
Pueblo County (719) 595-7575
DANA R BENNETT MD PC
Family Medicine
121 S CRESCENT DR
PUEBLO WEST, CO 81007
Pueblo County (719) 547-3924
ROGER L WRIGHT DDS
Dentist (General Practice)
121 S CRESCENT DR
PUEBLO, CO 81007
Pueblo County (719) 547-4474
MICHAEL JOSEPH RAMOS MD
Family Medicine
121 S CRESCENT DR
PUEBLO WEST, CO 81007
Pueblo County (719) 595-7575
POUDRE VALLEY MEDICAL GROUP, LLC
Family Medicine
121 S CRESCENT DR
PUEBLO WEST, CO 81007
Pueblo County (719) 595-7575
DR. KASEY SCOTT MCCREIGHT M.D.
Family Medicine
121 S CRESCENT DR
PUEBLO, CO 81007
Pueblo County (719) 595-7575

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 Jack Hall's NPI number?

The NPI number for Jack Hall is 1619284239. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Jack Hall located?

Jack Hall practices at 121 S Crescent Dr, Pueblo West, CO 81007. The listed phone number is (719) 595-7575.

What is Jack Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jack Hall was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.