Organization Active NPI

Douglas H Joyce DO PA

  • Vascular Surgery Physician
  • Punta Gorda, FL
National Provider Identifier
1164606752
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DOUGLAS H JOYCE DO PA
Practice address
25092 Olympia Ave
Suite 500
Punta Gorda, FL 33950-3933
Phone
(941) 575-0123
Fax
(941) 575-4191
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Douglas H Joyce, D.O.NPI 1255310579
Title
Owner
Phone
(941) 575-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

25092 Olympia Ave
Suite 500
Punta Gorda, FL 33950-3933

Mailing address

25092 Olympia Ave
Suite 500
Punta Gorda, FL 33950-3933
Phone (941) 575-0123

Other identifiers 1

IdentifierTypeStateIssuer
57222OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000257 FL Part B Supplier - Clinic/Group Practice 5890872022 Receives reassigned benefits from 1 practitioner
Practice locations: Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

25092 Olympia Ave
Punta Gorda, FL 33950
Phone (941) 575-0123

25092 Olympia Ave
Unit 500
Punta Gorda, FL 33950
Phone (941) 575-0123

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1164606752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25092 OLYMPIA AVE",
            "address_2": "SUITE 500",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503933",
            "telephone_number": "941-575-0123",
            "fax_number": "941-575-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25092 OLYMPIA AVE",
            "address_2": "SUITE 500",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503933",
            "telephone_number": "941-575-0123",
            "fax_number": "941-575-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS H JOYCE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-575-0123",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.