Organization Active NPI

David Auerbach MD PA

  • Specialist
  • Gainesville, FL
National Provider Identifier
1366559494
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME23286 Issued in FL
Legal business name
DAVID AUERBACH MD PA
Practice address
7003 NW 11TH PL
Suite 1
Gainesville, FL 32605-3176
Phone
(352) 331-7688
Fax
(352) 331-7611
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
David AuerbachNPI 1700870888
Title
President
Phone
(352) 331-7688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME23286 FL Primary

Addresses

Primary practice location

7003 NW 11TH PL
Suite 1
Gainesville, FL 32605-3176

Mailing address

7003 NW 11TH PL
Suite 1
Gainesville, FL 32605-3176
Phone (352) 331-7688

Other identifiers 2

IdentifierTypeStateIssuer
406292132OtherFLRRMC
036484300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000604 FL Part B Supplier - Clinic/Group Practice 8022108208 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

7003 NW 11th Pl
Ste 1
Gainesville, FL 32605
Phone (352) 331-7688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1366559494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 NW 11TH PL",
            "address_2": "SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053176",
            "telephone_number": "352-331-7688",
            "fax_number": "352-331-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 NW 11TH PL",
            "address_2": "SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053176",
            "telephone_number": "352-331-7688",
            "fax_number": "352-331-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AUERBACH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-7688"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME23286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "406292132",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036484300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.