Active NPI
Arthur L. Hall, M.D.
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME45648
- Practice address
- 9964 University Boulevard
Orlando, FL 32817 - Phone
- (407) 261-2956
- Fax
- (407) 657-0719
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME45648 | FL | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME45648 | FL |
Addresses
Primary practice location
9964 University Boulevard
Orlando, FL 32817
Mailing address
550 E State Road
Longwood, FL 32750
Phone (407) 262-5710
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274935100 | Medicaid | FL | |
| 256255300 | Medicaid | FL | |
| 101851 | Other | FL | AVMED ID # |
| 05545 | Other | FL | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME45648 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Inpatient Medicine LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Family Medicine | Current | Accepting new patients |
Locations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
Family Medicine
-
- Hospitalist Physician
- Davenport, FL
- NPI 1295216034
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1699358770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1093717613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E STATE ROAD",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-262-5710",
"fax_number": "407-262-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9964 UNIVERSITY BOULEVARD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32817",
"telephone_number": "407-261-2956",
"fax_number": "407-657-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ARTHUR",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME45648",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME45648",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274935100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256255300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED ID #",
"identifier": "101851",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05545",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.