Anthony E Douglas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84368 Issued in FL

Practice address

670 N Orlando Ave
Suite 204
Maitland, FL 32751-4481

Phone

(407) 644-7551

Fax

(407) 644-7121

NPI assigned

May 18, 2006

Last updated

Aug 17, 2007By 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 1

Addresses

Other identifiers 2

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 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.

• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Internal Medicine

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Winter Park Family Practice LLC

  dba Family Practice of Winter Park

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1740268929
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1639122831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514481",
            "telephone_number": "407-644-7551",
            "fax_number": "407-644-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514481",
            "telephone_number": "407-644-7551",
            "fax_number": "407-644-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00044141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctor's Associates of Orlando , LLC
• Amanda D Dohme
• Stephanie Dorestant, PA
• Sharilee Doty, MS, RMHCI
• Cristina Dou, MD
• Farah Downs, ED.S.
• Charles Richard Doyle, M.D.
• Dr Afsoon Elmore DDS PLC
• Dr Jose a Rivera LLC
• Dr. Leslie Gavin, PH.D. PLLC

• Internal Medicine Physician in Maitland, FL
• Providers in Maitland, 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 Aug 17, 2007; 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.