Clifford Douglas Eng, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME88227 Issued in FL

Practice address

1314 Sumter St
Leesburg, FL 34748-6385

Phone

(352) 365-6877

Fax

(352) 323-8925

NPI assigned

Apr 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lowcountry Urology Clinics PA

  • Urology Physician
  • N Charleston, SC
  • NPI 1942242714
  NPD (past)
• Lowcountry Urology Clinics, PA

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
  • NPI 1831967454
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003870270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 WESTPATH WAY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162261",
            "telephone_number": "407-797-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SUMTER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486385",
            "telephone_number": "352-365-6877",
            "fax_number": "352-323-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "CLIFFORD",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME88227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Physicians of Central Florida, LLP
• Jean Emilcar, M.D.
• Endearing Touch in Home Care
• Endeavor Chiropractic LLC (Highland Chiropractic Center)
• Endosurg Anesthesia Associates LLC
• Epic Teleradiology LLC
• Equal Opportunities, LLC.
• Eric J Sweda DC PA
• Karen Erickson, OT
• Erik O Zimmermann DPM PA (Erik O Zimmermann)

• Anatomic Pathology & Clinical Pathology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.