Organization Active NPI

Mark E Hall D P M P a

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
National Provider Identifier
1972789170
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P02108 Issued in FL
Legal business name
MARK E HALL D P M P A
Practice address
7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503
Phone
(561) 966-5060
Fax
(561) 966-4489
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. Mark E Hall, D.P.M.NPI 1104899764
Title
Owner
Phone
(561) 966-5060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P02108 FL Primary

Addresses

Primary practice location

7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503

Mailing address

7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503
Phone (561) 966-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930043378 FL DME Supplier - Physician - Podiatry 5890909535 Practice locations: Lake Worth, FL
O20110126001076 FL Part B Supplier - Clinic/Group Practice 5890909535 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL; Lake Worth, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mark E Hall DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7556 Lake Worth Rd
Ste 104
Lake Worth, FL 33467
Phone (561) 966-5060

Practitioners & affiliated clinicians

Practitioners 2

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1972789170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD",
            "address_2": "SUITE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-966-5060",
            "fax_number": "561-966-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD",
            "address_2": "SUITE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-966-5060",
            "fax_number": "561-966-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E HALL D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-966-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P02108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.