Active NPI
Thomas Kent Hall, M.D.
- Diagnostic Radiology Physician
- Boca Raton, FL
National Provider Identifier
1174651608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD0000009040
- Practice address
- 951 NW 13TH St Ste 1C
Boca Raton, FL 33486-2337 - Phone
- (561) 447-9341
- Fax
- (561) 447-9352
- NPI assigned
- Feb 28, 2007
- Last updated
- Aug 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD0000009040 | TN | Primary |
Addresses
Primary practice location
951 NW 13TH St Ste 1C
Boca Raton, FL 33486-2337
Mailing address
18701 SE Crosswinds LN
Jupiter, FL 33478-1916
Phone (865) 617-7551
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001147 | Other | TN | BLUE CROSS TENNESSEE |
| 3386048 | Medicaid | TN | |
| 164066 | Other | TN | BLACK LUNG |
| 621244650 | Other | TN | CHAMPUS |
| 62124465001 | Other | TN | JOHN DEERE |
| 64772874 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000009040 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Kent Hall MDPC | Diagnostic Radiology | Past | Accepting new patients |
| Anthony N Dardano D O P a | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
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- NPI 1730358334
-
- Plastic Surgery Physician
- Boca Raton, FL
- NPI 1992875587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1174651608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18701 SE CROSSWINDS LN",
"city": "JUPITER",
"state": "FL",
"postal_code": "334781916",
"telephone_number": "865-617-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NW 13TH ST STE 1C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862337",
"telephone_number": "561-447-9341",
"fax_number": "561-447-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "THOMAS",
"middle_name": "KENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD0000009040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS TENNESSEE",
"identifier": "2001147",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3386048",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "164066",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "621244650",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "62124465001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64772874",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.