Individual provider Active NPI

Anne I Dunham, MD

  • Anesthesiology Physician
  • Daytona Beach, FL
National Provider Identifier
1447247697
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME74466 Issued in FL
Practice address
1890 Lpga Blvd
Suite 210
Daytona Beach, FL 32117-7130
Phone
(386) 274-1744
Fax
(386) 274-1644
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME74466 FL
Internal Medicine Physician 207R00000X ME74466 FL
Anesthesiology Physician 207L00000X ME74466 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd
Suite 210
Daytona Beach, FL 32117-7130

Mailing address

1600 SW Archer Rd
Box 100254
Gainesville, FL 32610-0254
Phone (352) 273-8610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Sheridan Healthcorp, Inc Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
New Smyrna Orthopedics PA PastSince Nov 4, 1997 Accepting new patients
Volusia Anesthesia Associates Anesthesiology Past Accepting new patients
Halifax Anesthesiology Associates PA Anesthesiology PastSince May 15, 2013 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1890 Lpga Blvd
Ste 210
Daytona Beach, FL 32117
Phone (386) 274-0097

311 N Clyde Morris Blvd
Ste 350
Daytona Beach, FL 32114
Phone (386) 255-1266

1890 Lpga Blvd
Ste 200
Daytona Beach, FL 32117
Phone (386) 274-3232

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100254
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1447247697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100254",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100254",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "SUITE 210",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-1744",
            "fax_number": "386-274-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "ANNE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME74466",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74466",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME74466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.