Organization Active NPI

Robert a Hull MD PA

  • Internal Medicine Physician
  • Englewood, FL
National Provider Identifier
1003115734
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88340 Issued in FL
Legal business name
ROBERT A HULL MD PA
Practice address
2650 S McCall Rd
Englewood, FL 34224-6400
Phone
(941) 286-5610
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert A Hull, M.D.
Title
President
Phone
(941) 286-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME88340 FL Primary

Addresses

Primary practice location

2650 S McCall Rd
Englewood, FL 34224-6400

Mailing address

4566 Melbourne St
Port Charlotte, FL 33980-3040

Other identifiers 1

IdentifierTypeStateIssuer
81580ZOtherFLMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

2650 S McCall Rd
Ste C
Englewood, FL 34224
Phone (941) 286-5610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1003115734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 MELBOURNE ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339803040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342246400",
            "telephone_number": "941-286-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A HULL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-286-5610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "81580Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.