NPIMap

Individual provider Active NPI

Mark Thomas Hash, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1497850093
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5744 Issued in FL
Practice address
3599 University Blvd South
Jacksonville, FL 32216-4631
Phone
(850) 766-3835
Fax
(229) 236-0990
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5744 FL Primary
Urgent Care Clinic/Center 261QU0200X OS7744 FL

Addresses

Primary practice location

3599 University Blvd South
Jacksonville, FL 32216-4631

Mailing address

2910 Kerry Forest Pkwy # D4-115
Tallahassee, FL 32309-6892
Phone (850) 766-3835

Other identifiers 1

IdentifierTypeStateIssuer
129996900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128001098 FL Practitioner - Emergency Medicine 0446153332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Physicians and Surgeons, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1554 Surgeons Dr
Tallahassee, FL 32308-4631
Phone (850) 219-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS5744FLMDFamily Medicine Physician
OS7744FLMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care America LLC Family Medicine CurrentSince Apr 27, 2025 Accepting new patients
Urgent Care America LLC Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Advanced Medical Health Clinic, LLC PastSince Apr 14, 2014 Accepting new patients
Southland Select Hospitalist Group, LLC Family Medicine Past Accepting new patients
Rutherford Emergency Medicine PA Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
TST Medical, P.a. Family Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

1554 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 219-6800

2910 Kerry Forest Pkwy
#D4115
Tallahassee, FL 32309
Phone (229) 563-5205

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1497850093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 KERRY FOREST PKWY # D4-115",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096892",
            "telephone_number": "850-766-3835",
            "fax_number": "229-236-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD SOUTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164631",
            "telephone_number": "850-766-3835",
            "fax_number": "229-236-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASH",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5744",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS7744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129996900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.