Douglas W Klotch MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME55312 Issued in FL

Legal business name

DOUGLAS W KLOTCH MD PA

Practice address

3450 E Fletcher Avenue
Suite 260
Tampa, FL 33613-4597

Phone

(813) 977-1350

Fax

(813) 977-1360

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas William Klotch, MDNPI 1487680856

Title

President

Phone

(813) 977-1350

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas William Klotch, MD

  • Otolaryngology Physician
  • Tampa, FL
  • NPI 1487680856
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295892008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVENUE",
            "address_2": "SUITE 260",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134597",
            "telephone_number": "813-977-1350",
            "fax_number": "813-977-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVENUE",
            "address_2": "SUITE 260",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134597",
            "telephone_number": "813-977-1350",
            "fax_number": "813-977-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W KLOTCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOTCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-977-1350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME55312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Dougherty, ARNP-C
• Jordana Brooke Herr Dougherty, MD
• Jeffrey Doughman, MS
• Morgan Elizabeth Doughty, MD
• Douglas L Nelson DO PA
• Brian Douglas
• David Byron Douglas, MD
• Elizabeth Anne Brooks Douglas, DC
• Jamie N Douglas, PA-C
• Jon C Douglas, AUD

• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.