Individual provider Active NPI

Jonathan S Hall, MD

  • Neurological Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1881676898
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME93949 Issued in FL
Practice address
603 7TH St S
Suite 500
Saint Petersburg, FL 33701-4719
Phone
(727) 893-6667
Fax
(727) 528-5942
NPI assigned
Nov 16, 2005
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME93949 FL Primary

Addresses

Primary practice location

603 7TH St S
Suite 500
Saint Petersburg, FL 33701-4719

Mailing address

603 7TH St S
Suite 500
Saint Petersburg, FL 33701-4719
Phone (727) 893-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000079 FL Practitioner - Neurosurgery 9739112905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Surgery Consultants, LLCGroup PAC ID 7618240110, 5 clinicians

Practice addresses (Care Compare)

3030 N Rocky Point Dr W
Suite 665
Tampa, FL 33607-5906
Phone (727) 784-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93949FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Surgery Consultants, LLC Neurological Surgery CurrentSince Jun 1, 2017 Accepting new patients
V.P. Nagarajan, M.D. Past Accepting new patients

Locations

3760 NW 83rd St
Ste 3
Gainesville, FL 32606
Phone (352) 332-7332

604 Robin Rd
Ste 1
Lakeland, FL 33803
Phone (727) 784-8600

1015 SE 17th St
Ste 200
Ocala, FL 34471
Phone (352) 245-7788

35111 US Highway 19 N
Ste 301
Palm Harbor, FL 34684
Phone (727) 784-8600

12202 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-7779

3030 N Rocky Point Dr W
Ste 665
Tampa, FL 33607
Phone (727) 784-8600

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.

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1881676898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "SUITE 500",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-893-6667",
            "fax_number": "727-528-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "SUITE 500",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-893-6667",
            "fax_number": "727-528-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME93949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.