David Sean Middleton, PA-C

Key facts

NPI

1376092973

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

PA9109807 (FL)

Practice address

9711 Commerce Center CT Ste 101
Fort Myers, FL 33908-3817

Phone

(239) 939-2621

Fax

(239) 939-3875

NPI assigned

Sep 25, 2016

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island ENT LLC Medical Specialty Clinic/Center · Venice, FL · NPI 1366165607
  Medicare reassignment Care Compare group FL
• Genesiscare USA of Florida LLC Urology Physician · Venice, FL · NPI 1316127152
  NPD (past)

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island ENT LLC (2 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72 of 100 (individual)

Quality

55.08

Promoting interoperability

89

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles (1 of 3)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: smiddlton@entassocftmyers.emadirect.md
• Direct secure messaging: davidmiddleton@entsf.allscriptsdirect.net

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2022.

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1376092973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 COMMERCE CENTER CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083817",
            "telephone_number": "239-939-2621",
            "fax_number": "239-939-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 COMMERCE CENTER CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083817",
            "telephone_number": "239-939-2621",
            "fax_number": "239-939-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "DAVID",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-25",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "21549A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICARE",
            "identifier": "PH419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Fort Myers, FL · Physician Assistant in Florida