Active NPI
Susan J. Hall, D.O.
- Occupational Medicine Physician
- Sarasota, FL
National Provider Identifier
1619098936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 4738
- Practice address
- 3530 Fruitville Rd
Sarasota, FL 34237-9026 - Phone
- (941) 552-8808
- Fax
- (941) 552-8805
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 2, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 4738 | FL | Primary |
Addresses
Primary practice location
3530 Fruitville Rd
Sarasota, FL 34237-9026
Mailing address
Post Office Box 2859
Sarasota, FL 34230-2859
Phone (941) 364-9437
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4738 | FL | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Medical Care PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Sarasota, FL
- NPI 1215241252
-
- General Practice Physician
- Sarasota, FL
- NPI 1780989483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1619098936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 2859",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342302859",
"telephone_number": "941-364-9437",
"fax_number": "941-364-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342379026",
"telephone_number": "941-552-8808",
"fax_number": "941-552-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SUSAN",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "4738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.