Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Dutch Hall

Individual provider Emergency Medicine Physician · NPI 1366199978

Jordan Dutch Hall is an Emergency Medicine in Provo, Utah. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
UT
In the registry since
2022

Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3337
Phone: (801) 357-7850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14260323-1204 (UT)

Record details

NPI number1366199978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Provo