Donna L Ducille, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8172 Issued in FL

Practice address

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Phone

(954) 379-8994

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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 and National Provider Directory roles.

• Genesis Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boynton Beach, FL
  • NPI 1447578125
  Medicare reassignment NPD
• Genesis Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Boca Raton, FL
  • NPI 1073982831
  NPD
• Amicus Medical Center LLC

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1033488382
  NPD (past)
• Genesis Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boynton Beach, FL
  • NPI 1437402831
  NPD (past)
• South Florida Medical Centers, Inc

  dba SFMC Group of Lauderhill

  • Family Medicine Physician
  • Lauderhill, FL
  • NPI 1962611251
  NPD (past)
• Wayne J M Fraser MD PA

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1659511699
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1629020631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "address_2": "142",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695742",
            "telephone_number": "954-472-2999",
            "fax_number": "954-473-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCILLE",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260352700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DMH Healthcare LLC
• Dayana Annetis Dominguez
• Maria Dominguez, DDS
• Roseline Dor
• Dayseann Dreckett, NP
• Marsha Ellison
• Angel Emmanuel, LCSW
• Endo Care Services, LLC
• Essential Learning Centre
• Anne-Rose Estime

• Family Medicine Physician in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.