Active NPI
David G. Hale, M.D.
- Pediatrics Physician
- Apopka, FL
National Provider Identifier
1598059909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME120651
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017457800 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130314000219 | FL | Order and Referring Only - Pediatric Medicine | 2062657380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120651 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntclub Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Apopka, FL
- NPI 1063568855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.