NPIMap

Individual provider Active NPI

Florence Faye Doman, M.D.

  • Hospitalist Physician
  • Lehigh Acres, FL
National Provider Identifier
1699702035
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2012033551 Issued in MO
Practice address
Lehigh Regional Medical Center
1500 Lee Blvd.
Lehigh Acres, FL 33936
Phone
(239) 303-2600
Fax
(239) 303-2604
NPI assigned
Jun 28, 2006
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004022322 MO
Hospitalist Physician 208M00000X 2012033551 MO Primary

Addresses

Primary practice location

Lehigh Regional Medical Center
1500 Lee Blvd.
Lehigh Acres, FL 33936

Mailing address

292 Justene Cir
Lehigh Acres, FL 33936-7568
Phone (417) 839-5755

Other identifiers 3

IdentifierTypeStateIssuer
7100510910MedicaidKY
209315605MedicaidMO
201112080MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, GA, NH4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050111000013 MO Practitioner - HospitalistPractitioner - Internal Medicine 6800844473 Reassigns benefits to 2 organizations
I20070625000201 FL Practitioner - Internal Medicine 6800844473 Reassigns benefits to 2 organizations
I20141106000782 GA Practitioner - Internal Medicine 6800844473 Reassigns benefits to 1 organization
I20150130000597 NH Practitioner - Internal Medicine 6800844473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004022322MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Oct 20, 2014 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Catholic Medical Center CurrentSince Oct 20, 2014 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Boone Physician Services, LLC CurrentSince Dec 2, 2019 Accepting new patients
Butler Physician Services, LLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
Memorial Family Practice Associates, LLC Past Accepting new patients
Floridian Emergency Specialists, LLC PastSince Jan 26, 2020 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Interoperability endpoints

  • Direct secure messaging: fdoman16000@surescripts.sfmc.net
  • Direct secure messaging: florencedoman@mhccaremail.com

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1699702035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 JUSTENE CIR",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367568",
            "telephone_number": "417-839-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEHIGH REGIONAL MEDICAL CENTER",
            "address_2": "1500 LEE BLVD.",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33936",
            "telephone_number": "239-303-2600",
            "fax_number": "239-303-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAN",
        "first_name": "FLORENCE",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004022322",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2012033551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100510910",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209315605",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201112080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.