Active NPI
John F Hull DO PA
- Family Medicine Physician
- Crescent City, FL
National Provider Identifier
1801074885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0004047
- Legal business name
- JOHN F HULL DO PA
- Practice address
- 921 N Summit St
Crescent City, FL 32112-1724 - Phone
- (386) 698-2101
- Fax
- (386) 698-2364
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tammy D Young
- Title
- Office Manager
- Phone
- (386) 698-2101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0004047 | FL | Primary |
Addresses
Primary practice location
921 N Summit St
Crescent City, FL 32112-1724
Mailing address
921 N Summit St
Crescent City, FL 32112-1724
Phone (386) 698-2101
National Provider Directory
National Provider DirectoryLocations
923 N Summit St
Crescent City, FL 32112
Phone (904) 698-2101
921 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Crescent City, FL
- NPI 1922158435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1801074885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 N SUMMIT ST",
"city": "CRESCENT CITY",
"state": "FL",
"postal_code": "321121724",
"telephone_number": "386-698-2101",
"fax_number": "386-698-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 N SUMMIT ST",
"city": "CRESCENT CITY",
"state": "FL",
"postal_code": "321121724",
"telephone_number": "386-698-2101",
"fax_number": "386-698-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN F HULL DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "386-698-2101",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0004047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.