Individual provider Active NPI

Eric Christopher Deussing, MD

  • Otolaryngology Physician
  • Jacksonville, FL
National Provider Identifier
1174594493
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101235525 Issued in VA
Practice address
4495 Roosevelt Blvd
Suite 304-183
Jacksonville, FL 32210-3375
Phone
(504) 701-7879
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101235525 VA Primary

Addresses

Primary practice location

4495 Roosevelt Blvd
Suite 304-183
Jacksonville, FL 32210-3375

Mailing address

4495 Roosevelt Blvd
Suite 304-183
Jacksonville, FL 32210-3375
Phone (504) 701-7879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174594493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 ROOSEVELT BLVD",
            "address_2": "SUITE 304-183",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103375",
            "telephone_number": "504-701-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ROOSEVELT BLVD",
            "address_2": "SUITE 304-183",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103375",
            "telephone_number": "504-701-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUSSING",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101235525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.