Douglas Carl Gagnon Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10138 Issued in FL

Practice address

350 S 10TH St
Haines City, FL 33844-5602

Phone

(863) 422-4575

Fax

(863) 422-4573

NPI assigned

Dec 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• FL PPO

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.

• Heart of Florida Chiropractic, Inc.

  • Chiropractor
  • Haines City, FL
  • NPI 1982997896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1023311917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "863-422-4575",
            "fax_number": "863-422-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "863-422-4575",
            "fax_number": "863-422-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "DOUGLAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Orthocare, LLC
• Florida Rehab Care
• Charde L Floyd
• Ciara Shamesha Franklin
• Jean Gaetano, FNP
• Esmeralda Gamez
• Lisett Aurelia Garcia Yanez, APRN
• Diorismar Garcia
• Elizabeth Garcia, LCSW
• Ivette Garcia, OTR

• Chiropractor in Haines City, FL
• Providers in Haines City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.