Provider Demographics
NPI:1437130796
Name:HALE, E. RONALD (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:E.
Middle Name:RONALD
Last Name:HALE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:577-316-5800
Mailing Address - Fax:
Practice Address - Street 1:12100 WARWICK BLVD # 102
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2365
Practice Address - Country:US
Practice Address - Phone:757-594-2644
Practice Address - Fax:757-594-3134
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH914182085R0001X
VA01012821702085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2868768Medicaid
OH4242543Medicare PIN
OH2868768Medicaid