NPIMap

Individual provider Active NPI

Donald A. Human, M.D.

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1093787491
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17895 Issued in AZ
Practice address
6451 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33308-1402
Phone
(954) 343-2114
Fax
(800) 463-3169
NPI assigned
Feb 2, 2006
Last updated
Dec 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17895 AZ Primary

Addresses

Primary practice location

6451 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33308-1402

Mailing address

4638 E Cortez St
Phoenix, AZ 85028-2319
Phone (520) 840-0312

Other identifiers 2

IdentifierTypeStateIssuer
AZ0890620OtherAZBLUECROSS BLUESHIELD
281428MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107002110 AZ Practitioner - Emergency Medicine 1850380932 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17895AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jun 6, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jun 6, 2020 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Geary County Hospital Past Accepting new patients
Medevac Midamerica Inc Past Accepting new patients
Az Corridor Emergency Physicians Emergency Medicine Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Exigence Pennsylvania LLC Past Accepting new patients
Payson Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Exigence of Sunbury LLC Emergency Medicine Past Accepting new patients
Casa Grande Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Exigence of Bradford LLC Emergency Medicine Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

Interoperability endpoints

  • Direct secure messaging: smhprovider@direct.sagememorial.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1093787491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 E CORTEZ ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282319",
            "telephone_number": "520-840-0312",
            "fax_number": "480-657-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081402",
            "telephone_number": "954-343-2114",
            "fax_number": "800-463-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMAN",
        "first_name": "DONALD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "17895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "AZ0890620",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.