Individual provider Active NPI

David G. Hale, M.D.

  • Pediatrics Physician
  • Apopka, FL
National Provider Identifier
1598059909
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME120651 Issued in FL
Practice address
425 S Hunt Club Blvd
Suite 1051
Apopka, FL 32703-4947
Phone
(407) 786-4080
Fax
(407) 786-4667
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME120651 FL Primary

Addresses

Primary practice location

425 S Hunt Club Blvd
Suite 1051
Apopka, FL 32703-4947

Mailing address

425 S Hunt Club Blvd
Suite 1051
Apopka, FL 32703-4947
Phone (407) 786-4080

Other identifiers 1

IdentifierTypeStateIssuer
017457800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130314000219 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2062657380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120651FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntclub Pediatric Associates, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAADD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1598059909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "SUITE 1051",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034947",
            "telephone_number": "407-786-4080",
            "fax_number": "407-786-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "SUITE 1051",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034947",
            "telephone_number": "407-786-4080",
            "fax_number": "407-786-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME120651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017457800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.