Individual provider Active NPI

John E David, MD

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1073596235
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME131686 Issued in FL
Practice address
810 NW 16TH Ave
Gainesville, FL 32601-4012
Phone
(352) 333-5700
Fax
(352) 376-4975
NPI assigned
Nov 22, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME131686 FL Primary

Addresses

Primary practice location

810 NW 16TH Ave
Gainesville, FL 32601-4012

Mailing address

810 NW 16TH Ave
Gainesville, FL 32601-4012
Phone (352) 333-5700

Other practice location 1

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040316001136 WI Practitioner - HospitalistPractitioner - Emergency Medicine 0840180717 Reassigns benefits to 1 organization
I20170613000123 FL Practitioner - Internal Medicine 0840180717 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME131686FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Aug 25, 2019 Accepting new patients
Gainesville Physicians LLC CurrentSince Jul 1, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

6900 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-6680

810 NW 16th Ave
Gainesville, FL 32601
Phone (352) 333-5700

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3100 E Fletcher Ave
#C
Tampa, FL 33613

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: john.david@hca5.eclinicaldirectplus.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073596235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014012",
            "telephone_number": "352-333-5700",
            "fax_number": "352-376-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014012",
            "telephone_number": "352-333-5700",
            "fax_number": "352-376-4975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-7500",
            "fax_number": "608-265-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.