Active NPI
Donald Sanford Franklin, MD
- Family Medicine Physician
- Lake Wales, FL
National Provider Identifier
1689642928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME13614
- Practice address
- 410 South 11TH Street
Lake Wales, FL 33853 - Phone
- (863) 676-1433
- NPI assigned
- Mar 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME13614 | FL | |
| Family Medicine Physician | 207Q00000X | ME13614 | FL | Primary |
Addresses
Primary practice location
410 South 11TH Street
Lake Wales, FL 33853
Mailing address
8390 Champions Gate Boulevard
Ste 306
Champions Gate, FL 33896
Phone (407) 390-1677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04109 | Other | FL | BCBS |
| 255780100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040518000434 | FL | Practitioner - Family Practice | 8224028444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13614 | FL | MD | Family Medicine Physician |
| 13614 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Capri Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Oceanwind ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Advance Technological Radiology, PA | Past | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
-
- Emergency Medicine Physician
- Hudson, FL
- NPI 1659579233
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1255389656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1689642928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BOULEVARD",
"address_2": "STE 306",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "33896",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SOUTH 11TH STREET",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "33853",
"telephone_number": "863-676-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "DONALD",
"middle_name": "SANFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME13614",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME13614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04109",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255780100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.