Michael Doersch, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL6971 Issued in FL

Practice address

3535 Pirate Nation Way
Palm Coast, FL 32137-9203

Phone

(920) 660-2536

NPI assigned

Jul 15, 2014

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1285041921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 S BOUNDARY ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208420",
            "telephone_number": "920-660-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PIRATE NATION WAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379203",
            "telephone_number": "920-660-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERSCH",
        "first_name": "MICHAEL",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1597-39",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane Dixon, MS, ATC, LAT
• Moises Dobarganes, APRN
• Jennifer Dobritch
• Makala Marie Dodson
• Shawn Daniel Doerrfeld, D.C.
• Dolinky and Watry Inc
• Adrienne Beth Dolinky, ARNP
• Dolphin Medical Transport LLC
• Christopher Omar Dominguez Cruz
• Donna Griffin LMFT

• Athletic Trainer in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.