Active NPI
Grace Castro Dougan, M.D.
- Pediatric Endocrinology Physician
- Tampa, FL
National Provider Identifier
1669667556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- ME108000
- Practice address
- 3001 W. Martin Luther King Jr. Blvd
3Rd Floor Medical Arts Building
Tampa, FL 33607 - Phone
- (813) 554-8420
- Fax
- (813) 554-8377
- NPI assigned
- Sep 13, 2007
- Last updated
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | ME108000 | FL | Primary |
Addresses
Primary practice location
3001 W. Martin Luther King Jr. Blvd
3Rd Floor Medical Arts Building
Tampa, FL 33607
Mailing address
3001 W. Martin Luther King Jr. Blvd
3Rd Floor Medical Arts Building
Tampa, FL 33607
Phone (813) 554-8420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108000 | FL | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1669667556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W. MARTIN LUTHER KING JR. BLVD",
"address_2": "3RD FLOOR MEDICAL ARTS BUILDING",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-554-8420",
"fax_number": "813-554-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W. MARTIN LUTHER KING JR. BLVD",
"address_2": "3RD FLOOR MEDICAL ARTS BUILDING",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-554-8420",
"fax_number": "813-554-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGAN",
"first_name": "GRACE",
"middle_name": "CASTRO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "FL",
"license": "ME108000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.