Active NPI
Gary W Hale, RPSGT, CCSH
- Technician/Technologist
- Pensacola, FL
National Provider Identifier
1760155832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 1160
- Practice address
- 1110 Airport Blvd Ste B
Pensacola, FL 32504-8649 - Phone
- (251) 510-2654
- NPI assigned
- Jul 26, 2021
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 1160 | FL | Primary |
Addresses
Primary practice location
1110 Airport Blvd Ste B
Pensacola, FL 32504-8649
Mailing address
1110 Airport Blvd Ste B
Pensacola, FL 32504-8649
Phone (850) 910-3964
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160 | FL | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1760155832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 AIRPORT BLVD STE B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048649",
"telephone_number": "850-910-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 AIRPORT BLVD STE B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048649",
"telephone_number": "251-510-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "GARY",
"middle_name": "W",
"credential": "RPSGT, CCSH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "FL",
"license": "1160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.