Myles Douglas, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME20607 Issued in FL

Practice address

4700 N Habana Ave Ste 201
Tampa, FL 33614-7117

Phone

(813) 513-3030

Fax

(885) 861-0819

NPI assigned

Sep 9, 2022

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1184345860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JACKSON ST STE 2340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025226",
            "telephone_number": "813-683-5044",
            "fax_number": "855-861-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147117",
            "telephone_number": "813-513-3030",
            "fax_number": "885-861-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Jackson St Ste 2340",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025226",
            "country_code": "US",
            "telephone_number": "813-683-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MYLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME20607",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME20607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Byron Douglas, MD
• Elizabeth Anne Brooks Douglas, DC
• Jamie N Douglas, PA-C
• Jon C Douglas, AUD
• Michele Douglas, M.S.
• Rechelle Douglas
• Rodney Douglas, OT
• Sarice M Douglas
• Samir Douidar, M.D.
• Doulio Inc

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.