Frederick Hall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101624 Issued in FL

Practice address

2727 Winkler Ave
Fort Myers, FL 33901-9358

Phone

(239) 939-8434

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mid-Florida Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1558630152
  Medicare reassignment
• Southwest Florida Emergency Physicians, PA

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1588659502
  Medicare reassignment
• Lee Memorial Health System

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1992873319
  NPD
• All X Ray Diagnostic Services Corp

  • Clinic/Center
  • Miami, FL
  • NPI 1659399574

  Physician Assistant

  NPD (past)
• Cape Coral Emergency Physicians

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1225093941
  NPD (past)
• Bon Secours - Memorial Regional Medical Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1003451410
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1235101270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SW 43RD LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143500",
            "telephone_number": "239-945-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019358",
            "telephone_number": "239-939-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "FREDERICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Haley, M.A.
• Robert C Halgas II, PT, DPT
• Carolyn A. Hall, D.C.
• David Gould Hall, LMHC
• Edita Hall
• Jaime Marie Realsen Hall, MD
• Janet Kay Hall, PHARMACIST
• Jonathan Hall, PHARMD
• Joshua A Hall, D.C.
• Kevin Patrick Hall, D.D.S.

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.

Verify at the official NPI Registry.