Individual provider Active NPI

Colin R Doyle, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1164731691
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9181524 Issued in FL
Practice address
1200 Edgewater Dr
Orlando, FL 32804-6314
Phone
(407) 244-8559
Fax
(407) 218-4563
NPI assigned
Oct 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9181524 FL Primary

Addresses

Primary practice location

1200 Edgewater Dr
Orlando, FL 32804-6314

Mailing address

1200 Edgewater Dr
Orlando, FL 32804-6314
Phone (407) 244-8559

Other identifiers 1

IdentifierTypeStateIssuer
FC898ZOtherFLMEDICARE PTAN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000734 FL Practitioner - Nurse Practitioner 7719173913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Center of Orlando, P.a.Group PAC ID 5294796132, 8 clinicians

Practice addresses (Care Compare)

1200 Edgewater Dr
Orlando, FL 32804-6314
Phone (407) 244-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Center of Orlando, P.a. CurrentSince May 24, 2011 Accepting new patients

Locations

121 Webb Dr
Ste 300
Davenport, FL 33837
Phone (863) 291-6313

1210 E Osceola Pkwy
Ste 303
Kissimmee, FL 34744
Phone (407) 847-8404

4106 W Lake Mary Blvd
Ste 325
Lake Mary, FL 32746
Phone (386) 256-1969

100 N Dean Rd
Ste 201
Orlando, FL 32825
Phone (407) 244-8559

1200 Edgewater Dr
Orlando, FL 32804
Phone (407) 244-8559

6525 3rd St
Ste 208
Rockledge, FL 32955
Phone (407) 244-8559

910 Old Camp Rd
Ste 164
The Villages, FL 32162
Phone (352) 430-2720

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: colindoyle@vvc.allscriptsdirect.net

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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1164731691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "COLIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9181524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FC898Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.