Individual provider Active NPI

David Doeringer, D.O.

  • Family Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1619280468
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11577 Issued in FL
Practice address
34621 US 19 N
Palm Harbor, FL 34684-2152
Phone
(727) 953-9888
Fax
(727) 945-0133
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11577 FL Primary

Addresses

Primary practice location

34621 US 19 N
Palm Harbor, FL 34684-2152

Mailing address

34621 US 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

Other identifiers 1

IdentifierTypeStateIssuer
OS11577OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000682 FL Practitioner - Hospice/Palliative CarePractitioner - Family Practice 9830330810 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empath Health Pharmaceuticals, LLC CurrentSince Aug 12, 2022 Accepting new patients
The Hospice of the Florida Suncoast, Inc. Family Medicine CurrentSince Aug 12, 2022 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423

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.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1619280468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34621 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-953-9888",
            "fax_number": "727-945-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34621 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-953-9888",
            "fax_number": "727-945-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERINGER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS11577",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.