Donald Richard Nettlow Jr., MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME0050999 Issued in FL

Practice address

200 Avenue F NE
Winter Haven, FL 33881-4131

Phone

(863) 293-1121

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

University of South Florida College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants of Central Florida,LLCGroup PAC ID 5092813410, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Consultants of Central Florida,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Winter Haven, FL
  • NPI 1578681664
  Medicare reassignment Care Compare group NPD
• DRN Anesthesia, LLC

  • Anesthesiology Physician
  • Lakeland, FL
  • NPI 1023782216
  Medicare reassignment NPD Authorized official
• Anesthesia Associates MD PA

  • Anesthesiology Physician
  • Winter Haven, FL
  • NPI 1578589909
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1003859349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864165",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864165",
            "telephone_number": "317-614-9863",
            "fax_number": "844-876-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Avenue K SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804215",
            "country_code": "US",
            "telephone_number": "863-299-1231",
            "fax_number": "863-299-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTLOW",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0050999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372397600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen John Nelson, M.D.
• Nemours Children'S Health, Winter Haven, Primary Care
• Stephen Douglas Nenner, LMHC
• Jennifer L Nesbit, M.S.,CCC-SLP
• Rachel Locke Nettles, COTA/L
• Neurocare Center, LLC
• Neurology& Neurosurgery Associates
• Newave Medical Supplies LLC
• Newberry Clinic of Chiropractic PA Inc
• Gary W Newberry, DC

• Anesthesiology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.