Organization Active NPI

Michael D Halldpmpa

  • Foot & Ankle Surgery Podiatrist
  • Coral Springs, FL
National Provider Identifier
1780009423
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 1300 Issued in FL
Legal business name
MICHAEL D HALLDPMPA
Practice address
2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165
Phone
(954) 341-4306
Fax
(954) 340-4431
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Michael D Hall, DPMPA
Title
President
Phone
(954) 341-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 1300 FL Primary

Addresses

Primary practice location

2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165

Mailing address

2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165
Phone (954) 341-4306

Other identifiers 1

IdentifierTypeStateIssuer
029760700MedicaidFL

National Provider Directory

National Provider Directory

Locations

10220 W Sample Rd
#C
Coral Springs, FL 33065
Phone (954) 341-4306

10220 W Sample Rd
Coral Springs, FL 33065
Phone (954) 341-4306

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1780009423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR STE 330",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654165",
            "telephone_number": "954-341-4306",
            "fax_number": "954-340-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR STE 330",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654165",
            "telephone_number": "954-341-4306",
            "fax_number": "954-340-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D HALLDPMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-341-4306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPMPA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029760700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.