Individual provider Active NPI

Douglas Ward, M.D.

  • Emergency Medicine Physician
  • Naples, FL
National Provider Identifier
1497782700
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME151732 Issued in FL
Practice address
9125 Corsea del Fontana Way Ste 100
Naples, FL 34109-4430
Phone
(239) 598-4004
Fax
(239) 598-4713
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME151732 FL
Vascular Surgery Physician 2086S0129X ME151732 FL
Emergency Medicine Physician 207P00000X ME151732 FL Primary

Addresses

Primary practice location

9125 Corsea del Fontana Way Ste 100
Naples, FL 34109-4430

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, 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

Enrollment IDStateProvider typePAC IDDetails
I20040811001175 IL Practitioner - Emergency Medicine 0244202059 Reassigns benefits to 3 organizations
I20220618000267 FL Practitioner - Vascular SurgeryPractitioner - Emergency Medicine 0244202059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Emergency Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

9125 Corsea del Fontana Way
Suite 100
Naples, FL 34109-4430
Phone (239) 598-4004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jul 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Bloomington Medical Laboratory Physicians, S.C. Current Accepting new patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Jul 1, 2022 Accepting new patients
St Joseph Medical Center Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
The Vein Specialists, LLC Emergency Medical Services CurrentSince Oct 1, 2018 Accepting new patients
Dermatology and Skin Cancer Center Dermatology CurrentSince Oct 15, 2023 Accepting new patients
St Joseph Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 16, 2018 Accepting new patients
Advocate Health & Hospitals Corp. Emergency Medicine CurrentSince Jun 16, 2018 Accepting new patients
St Joseph Medical Center Current Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients
Prairie Emergency Group, LTD. Emergency Medical Services Past Accepting new patients
Bestpractices of Illinois PC Emergency Medicine Past Accepting new patients

Locations

25987 S Tamiami Trl
Ste 90
Bonita Springs, FL 34134
Phone (239) 444-3201

413 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 443-1500

2366 Surfside Blvd
Ste C111
Cape Coral, FL 33991
Phone (239) 360-2795

7331 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-8810

9400 Gladiolus Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 482-7546

11181 Health Park Blvd
Ste 2280
Naples, FL 34110
Phone (239) 594-9075

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

9125 Corsea del Fontana Way
Ste 100
Naples, FL 34109
Phone (239) 598-4004

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

3302 Gerig Dr
Ste 100
Bloomington, IL 61704
Phone (309) 533-7070

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

75 Remittance Dr
Dept 1707
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2011 Rock St
Ste C
Peru, IL 61354
Phone (309) 862-4000

Interoperability endpoints

  • Direct secure messaging: dwardmd@aquadermatology.emadirect.md

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1497782700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "239-313-2517",
            "fax_number": "239-666-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 CORSEA DEL FONTANA WAY STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094430",
            "telephone_number": "239-598-4004",
            "fax_number": "239-598-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME151732",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME151732",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME151732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.