Provider Demographics
NPI:1831149665
Name:HUNT, THOMAS RUSSELL III (MD, DSC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:RUSSELL
Last Name:HUNT
Suffix:III
Gender:M
Credentials:MD, DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-9696
Mailing Address - Fax:239-343-4198
Practice Address - Street 1:8960 COLONIAL CENTER DR STE 206
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7810
Practice Address - Country:US
Practice Address - Phone:239-343-9696
Practice Address - Fax:239-343-4198
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26386207X00000X
FLME88798207X00000X, 207XS0106X
TXP4872207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051525888OtherBLUE CROSS
AL009981585Medicaid
AL009932981Medicaid
AL051529894OtherBLUE CROSS
AL009931927Medicaid
AL009981595Medicaid
AL051525886OtherBLUE CROSS
FL118329500Medicaid
ALP00202452OtherRAILROAD MEDICARE
AL051529531OtherBLUE CROSS