Organization Active NPI

Eric G. Hall M.D., PA

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1891745378
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0052912 Issued in FL
Legal business name
ERIC G. HALL M.D., PA
Practice address
640 E Ocean Blvd
Stuart, FL 34994-2330
Phone
(772) 287-2448
Fax
(772) 287-1838
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Dr. Eric Gregory Hall, M.D.NPI 1972553311
Title
Physician/Owner
Phone
(772) 287-2448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0052912 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0052912 FL Primary

Addresses

Primary practice location

640 E Ocean Blvd
Stuart, FL 34994-2330

Mailing address

640 E Ocean Blvd
Stuart, FL 34994-2330
Phone (772) 287-2448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060717000304 FL Part B Supplier - Clinic/Group Practice 5799798732 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

640 SE Ocean Blvd
Ste 102
Stuart, FL 34994

640 SE Ocean Blvd
Stuart, FL 34994
Phone (561) 287-2448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1891745378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942330",
            "telephone_number": "772-287-2448",
            "fax_number": "772-287-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942330",
            "telephone_number": "772-287-2448",
            "fax_number": "772-287-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC G. HALL M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-287-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0052912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0052912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.