Active NPI
Richard Allen Hill, D.O.
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1205160215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS6639
- Practice address
- 1318 SE 17TH St
Fort Lauderdale, FL 33316-1708 - Phone
- (954) 657-3983
- Fax
- (954) 636-4105
- NPI assigned
- Sep 23, 2009
- Last updated
- Sep 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS6639 | FL | Primary |
Addresses
Primary practice location
1318 SE 17TH St
Fort Lauderdale, FL 33316-1708
Mailing address
1318 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (954) 657-3983
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Mattice MD | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1205160215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-657-3983",
"fax_number": "954-636-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-657-3983",
"fax_number": "954-636-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS6639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.