Individual provider Active NPI

Thomas A Hawk, MD

  • Anesthesiology Physician
  • Trinity, FL
National Provider Identifier
1659334274
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME110447 Issued in FL
Practice address
2154 Duck Slough Blvd
Trinity, FL 34655-5073
Phone
(727) 937-6020
Fax
(866) 665-2702
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01039631 IN
Anesthesiology Physician 207L00000X ME110447 FL Primary

Addresses

Primary practice location

2154 Duck Slough Blvd
Trinity, FL 34655-5073

Mailing address

2154 Duck Slough Blvd
Trinity, FL 34655-5073
Phone (727) 937-6020

Other identifiers 1

IdentifierTypeStateIssuer
100379620MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120326000350 FL Practitioner - Anesthesiology 3971540212 Reassigns benefits to 2 organizations
I20230506000186 TX Practitioner - Anesthesiology 3971540212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Florida Anesthesiologists LLCGroup PAC ID 3173711017, 315 clinicians

Practice addresses (Care Compare)

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (954) 393-5000

Hospital & facility affiliations

  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110447FLMDAnesthesiology Physician
01039631INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Thomas a Hawk, MD Anesthesiology PastSince Jan 1, 1990 Accepting new patients
Hendricks County Anesthesiology, P.C. Anesthesiology Past Accepting new patients
Premier Anesthesia of Indiana PC Anesthesiology Past Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

Interoperability endpoints

  • Direct secure messaging: thawk330802@direct.llu.edu

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 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1659334274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "telephone_number": "727-937-6020",
            "fax_number": "866-665-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "telephone_number": "727-937-6020",
            "fax_number": "866-665-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01039631",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME110447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100379620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.