Active NPI
Donald J Huggard, PA
- Physician Assistant
- Edgewater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3292
- Practice address
- 812 W Indian Blvd.
Edgewater, FL 32132-3429 - Phone
- (386) 426-1411
- Fax
- (386) 426-1411
- NPI assigned
- Aug 31, 2005
- Last updated
- Apr 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3292 | FL | Primary |
Addresses
Primary practice location
812 W Indian Blvd.
Edgewater, FL 32132-3429
Mailing address
2950 Sunset Dr
New Smyrna Beach, FL 32168-5616
Phone (386) 871-5708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB111Z | Other | FL | MEDICARE PTAN |
| 001658 | Other | FL | FLORIDA HEALTH CARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
812 Indian River Blvd
Edgewater, FL 32132-3429
Phone (386) 426-1411
812 W Indian River Blvd
Edgewater, FL 32132-3429
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Edgewater, FL
- NPI 1760596902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth New Smyrna Beach
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1700870177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 SUNSET DR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321685616",
"telephone_number": "386-871-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 W INDIAN BLVD.",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "321323429",
"telephone_number": "386-426-1411",
"fax_number": "386-426-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGGARD",
"first_name": "DONALD",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IB111Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTH CARE",
"identifier": "001658",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.