Jacqueline Marlene David, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11008 Issued in FL

Practice address

6244 W Oakland Park Blvd
Sunrise, FL 33313-1214

Phone

(754) 216-2715

Fax

(954) 697-0842

NPI assigned

Nov 11, 2010

Sex

Female

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

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

Specialty

Internal Medicine

Education

Nova Southeastern Univ College of Dental Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coral Springs Physician Services, LLCGroup PAC ID 7719268333, 36 clinicians

Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Procedures performed for Medicare patients

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.

• Coral Springs Physician Services, LLC

  • Hospitalist Physician
  • Coral Springs, FL
  • NPI 1134673767
  Medicare reassignment Care Compare group NPD
• Doctor'S Medical Associates LLC

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1003300690
  Medicare reassignment NPD Authorized official
• Florida Hospital Medicine Services, LLC.

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment Care Compare group NPD
• HHA Associates LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1265073159
  Medicare reassignment Care Compare group NPD
• Jimenez Medical Center, Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1831506997
  Medicare reassignment NPD
• North Broward Hospitalist Inc

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1114193034

  Internal Medicine

  Medicare reassignment NPD
• Fort Lauderdale Physician Services, LLC

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1497209027
  Medicare reassignment
• Hector B Jimenez MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1174660005

  Internal Medicine

  NPD
• Mohammad T Sheikh MD PA

  • Family Medicine Physician
  • Lauderhill, FL
  • NPI 1396939989
  NPD
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation
• North Broward Hospital District

  • General Acute Care Hospital
  • Pompano Beach, FL
  • NPI 1376571323
  Care Compare affiliation
• North Broward Hospital District

  • Emergency Care Clinic/Center
  • Lighthouse Point, FL
  • NPI 1720936792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1689975310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131214",
            "telephone_number": "754-216-2715",
            "fax_number": "954-697-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131214",
            "telephone_number": "754-216-2715",
            "fax_number": "954-697-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JACQUELINE",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02005439",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527439",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689975310",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103615500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darly Nursing Services
• Darly Nursing, Inc
• Debra L Davey, M.D.
• David Lubin PHD
• David Omobasuyi LLC
• Marisha A Davis
• Michele A Davis, CRNA
• Stephanie Marie Davis, PA-C
• Danilo V. Dayrit, CRNA
• Laurence L. Dayton, PH.D.

• Internal Medicine Physician in Sunrise, FL
• Providers in Sunrise, 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 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.