Active NPI
Joshua Brian Dault, MD
- Radiation Oncology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME147896
- Practice address
- 2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893 - Phone
- (850) 878-2273
- Fax
- (850) 671-5900
- NPI assigned
- Apr 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME147896 | FL | Primary |
Addresses
Primary practice location
2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893
Mailing address
2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893
Phone (850) 878-2273
Other practice location 1
1250 E Marshall St
Box 980509
Richmond, VA 23298-5051
Phone (804) 828-8786
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Florida State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Memorial Healthcare Inc
Practice addresses (Care Compare)
1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-5360
2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893
Phone (850) 878-2273
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME147896 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Cancer Center Tallahassee LLC | Radiation Oncology | Current | Accepting new patients |
Locations
2003 Centre Pointe Blvd
Tallahassee, FL 32308
Phone (850) 758-7822
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.
-
- Radiation Oncology Physician
- Tallahassee, FL
- NPI 1952398448
FL, Radiation Oncology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1154775724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 CENTRE POINTE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084893",
"telephone_number": "850-878-2273",
"fax_number": "850-671-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 CENTRE POINTE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084893",
"telephone_number": "850-878-2273",
"fax_number": "850-671-5900"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_2": "Box 980509",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-8786",
"fax_number": "804-828-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAULT",
"first_name": "JOSHUA",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME147896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.