Individual provider Active NPI

Anthony James Hall, MD,CM,FACS,CIME

  • Neurological Surgery Physician
  • Hollywood, FL
National Provider Identifier
1093700346
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME67040 Issued in FL
Practice address
1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721
Phone
(954) 459-4600
Fax
(954) 459-3333
NPI assigned
Sep 13, 2005
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME67040 FL Primary

Addresses

Primary practice location

1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721

Mailing address

1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721
Phone (954) 459-4600

Other practice location 1

6388 Silver Star Rd Ste 2G
Orlando, FL 32818-3235
Phone (954) 397-3251

Other practice location 2

151 NW 11th St Ste E204
Homestead, FL 33030-4350
Phone (954) 397-3251

Other practice location 3

2056 Centre Pointe Ln Unit B
Tallahassee, FL 32308-4300
Phone (954) 397-3251

Other practice location 4

136 S Main St Ste B
Belle Glade, FL 33430-3424
Phone (954) 397-3251

Other practice location 5

5100 N Federal Hwy
Ft Lauderdale, FL 33308-3886
Phone (954) 397-3251

Other practice location 6

1394 NW 62nd Street
Miami, FL 33147
Phone (954) 397-3251

Other practice location 7

4444 E Fletcher Ave Unit E
Tampa, FL 33613-4905
Phone (954) 397-3251

Other practice location 8

717 Canal St
New Smyrna Beach, FL 32168-6973
Phone (954) 397-3251

Other practice location 9

6210 Samuel Wells Drive
Unit 1201
Jacksonville, FL 32216
Phone (954) 397-3251

Other practice location 10

1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721
Phone (954) 397-3251

Other identifiers 2

IdentifierTypeStateIssuer
140007991OtherFLRAILROAD MEDICARE
264899700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sccrnetwork@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040619000019 FL Practitioner - Neurosurgery 6103718713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1685 S State Rd
7 Suite 4
Hollywood, FL 33023-6721
Phone (954) 459-4600

1685 S State Rd
7 Unit 4
Hollywood, FL 33084-9998
Phone (954) 397-3251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Sickle Cell Disease Research CurrentSince Aug 21, 2021 Accepting new patients
South Florida Neurosurgical Institute Inc PastSince Aug 6, 2001 Accepting new patients
Broward Multispecialty Group LLC Past Accepting new patients
Foundation for Sickle Cell Disease Research Past Accepting new patients

Locations

136 S Main St
Ste B
Belle Glade, FL 33430
Phone (561) 571-9861

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

151 NW 11th St
Ste E204
Homestead, FL 33030
Phone (305) 247-1100

1394 NW 62nd St
Miami, FL 33147
Phone (954) 374-6320

717 Canal St
New Smyrna Beach, FL 32168
Phone (386) 274-0500

6388 Silver Star Rd
Ste 2G
Orlando, FL 32818
Phone (407) 291-9500

2056 Centre Pointe Ln
Ste B
Tallahassee, FL 32308

4444 E Fletcher Ave
Unit E
Tampa, FL 33613

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1093700346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S STATE ROAD 7 STE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236721",
            "telephone_number": "954-459-4600",
            "fax_number": "954-459-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S STATE ROAD 7 STE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236721",
            "telephone_number": "954-459-4600",
            "fax_number": "954-459-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6388 Silver Star Rd Ste 2G",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328183235",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 NW 11th St Ste E204",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304350",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2056 Centre Pointe Ln Unit B",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084300",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334303424",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333083886",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1394 NW 62nd Street",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33147",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 E Fletcher Ave Unit E",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134905",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321686973",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Samuel Wells Drive",
            "address_2": "Unit 1201",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1685 S State Road 7 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330236721",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD,CM,FACS,CIME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME67040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140007991",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264899700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sccrnetwork@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1685 S STATE ROAD 7",
            "address_2": "UNIT 4",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.