Individual provider Active NPI

David Brian Ethier, MD

  • Orthopaedic Surgery Physician
  • Ocala, FL
National Provider Identifier
1114966926
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0071757 Issued in FL
Practice address
2801 SE 1St Ave Ste 302
Ocala, FL 34471-0478
Phone
(352) 237-9298
Fax
(352) 351-4193
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0071757 FL Primary

Addresses

Primary practice location

2801 SE 1St Ave Ste 302
Ocala, FL 34471-0478

Mailing address

2801 SE 1St Ave Ste 302
Ocala, FL 34471-0478
Phone (352) 237-9298

Other identifiers 3

IdentifierTypeStateIssuer
251104500MedicaidFL
200031401OtherRAILROAD MC
32354OtherFLBC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090909000311 FL Practitioner - Orthopedic Surgery 3375698772 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071757FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Oct 29, 2020 Accepting new patients

Locations

9401 SW Highway 200
Bldg 90
Ocala, FL 34481
Phone (352) 237-9298

2801 SE 1st Ave
Ste 302
Ocala, FL 34471
Phone (352) 237-9298

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: david.ethier.1@18077.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1114966926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SE 1ST AVE STE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710478",
            "telephone_number": "352-237-9298",
            "fax_number": "352-351-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SE 1ST AVE STE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710478",
            "telephone_number": "352-237-9298",
            "fax_number": "352-351-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHIER",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0071757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251104500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "200031401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "32354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.