Paul A. Dowdy, M.D

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME 72924 Issued in FL

Practice address

105 Park Place Blvd
Suite a
Davenport, FL 33837-6858

Phone

(863) 421-7411

Fax

(863) 547-9514

NPI assigned

Jan 23, 2006

Reactivated

Oct 28, 2020

Last updated

Oct 28, 2020By 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 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Haines City Hma Physician Management, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Davenport, FL
  • NPI 1215262217
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1669442810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PARK PLACE BLVD",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376858",
            "telephone_number": "863-421-7411",
            "fax_number": "863-547-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PARK PLACE BLVD",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376858",
            "telephone_number": "863-421-7411",
            "fax_number": "863-547-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "deactivation_date": "2018-11-04",
        "reactivation_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 72924",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 72924",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME 72924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "45061",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252802900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200041017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashandra Dodard, PTA
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• Berlandecia Dor
• Stephania Dorcilien, APRN
• Armando Antonio Doval, M.D.
• Dr Ballester, Professional Limited Company
• Dr Raphael Lopez LLC
• Dr. Raphael Lopez, LLC
• Kianesha Renee Dreher, RDN
• Ross Dreher

• Orthopaedic Surgery Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.