NPIMap

Organization Active NPI

David B. Ethier MD, PA

  • Orthopaedic Surgery Physician
  • Belleview, FL
National Provider Identifier
1548408982
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0071757 Issued in FL
Legal business name
DAVID B. ETHIER MD, PA
Practice address
11531 SE US Highway 301
Belleview, FL 34420-4429
Phone
(352) 307-7678
Fax
(352) 307-7677
NPI assigned
Jan 22, 2009
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Ms. Margot E Ethier
Title
Office Manager
Phone
(352) 307-7678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0071757 FL Primary

Addresses

Primary practice location

11531 SE US Highway 301
Belleview, FL 34420-4429

Mailing address

PO Box 4118
Belleview, FL 34421-4118
Phone (352) 307-7678

Other identifiers 3

IdentifierTypeStateIssuer
200031401OtherFLRAILROAD MEDICARE
251104500MedicaidFL
32354OtherFLBLUE CROSS

National Provider Directory

National Provider Directory

Locations

11531 SE US Highway 301
Belleview, FL 34420
Phone (352) 307-0105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1548408982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4118",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344214118",
            "telephone_number": "352-307-7678",
            "fax_number": "352-307-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 SE US HIGHWAY 301",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204429",
            "telephone_number": "352-307-7678",
            "fax_number": "352-307-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. ETHIER MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ETHIER",
        "authorized_official_first_name": "MARGOT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-307-7678",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0071757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200031401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251104500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.