Active NPI
David Paul Showalter, M.D.
- Vascular Surgery Physician
- Sarasota, FL
National Provider Identifier
1215938618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME60158
- Practice address
- 600 N Cattlemen Rd
Suite 220
Sarasota, FL 34232-6410 - Phone
- (941) 371-6565
- Fax
- (941) 377-7731
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME60158 | FL | Primary |
Addresses
Primary practice location
600 N Cattlemen Rd
Suite 220
Sarasota, FL 34232-6410
Mailing address
600 N Cattlemen Rd
Suite 220
Sarasota, FL 34232-6410
Phone (941) 371-6565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650501582 | Other | FL | TAX ID |
| 12342 | Other | FL | BCBC |
| 372697500 | Medicaid | FL | |
| 060063668 | Other | FL | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60158 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular and Surgery Assoc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sarasota, FL
- NPI 1083772727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1215938618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N CATTLEMEN RD",
"address_2": "SUITE 220",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326410",
"telephone_number": "941-371-6565",
"fax_number": "941-377-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N CATTLEMEN RD",
"address_2": "SUITE 220",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326410",
"telephone_number": "941-371-6565",
"fax_number": "941-377-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOWALTER",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME60158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "650501582",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC",
"identifier": "12342",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372697500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "060063668",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.