Daniel Clayton Doornbos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME150001 Issued in FL

Practice address

5011 Gate Parkway
BLDG 100 Ste 100
Jacksonville, FL 32256

Phone

(904) 512-7239

Fax

(866) 380-0827

NPI assigned

Jun 30, 2006

Last updated

May 23, 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Aaron J West MD PA

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1568687069

  Internal Medicine

  Medicare reassignment NPD
• Respiratory Critical Care and Sleep Medicine Associates,Inc

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1386622629
  Medicare reassignment NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainehealth

  • General Acute Care Hospital
  • Farmington, ME
  • NPI 1558305847
  Medicare reassignment NPD
• Mainegeneral Medical Center

  dba MaineGeneral Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Mainegeneral Medical Center

  dba MaineGeneral Speciality Care

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1083949184

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1447289954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078567",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY",
            "address_2": "BLDG 100 STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-512-7239",
            "fax_number": "866-380-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 San Marco Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078567",
            "country_code": "US",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 Village Square Pkwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034319",
            "country_code": "US",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOORNBOS",
        "first_name": "DANIEL",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-05-23",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME150001",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME150001",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME150001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110670900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britt Christine Ahlberg Donovan
• Kevin L Donovan, MD
• Vaishali B Doolabh, MD
• Bently Patrick Doonan, M.D.
• Door to Door Quality Transportation Corp
• NE'Tosha Cenetrise Dopson-Woodall, PA
• Randi Amber Dopson, LMA, CE, CME
• Alana Dor
• Vered Dor, PSY.D.
• Chandler D Dora, M.D.

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.