Individual provider Active NPI

Douglas J Pawling, ARNP

  • Adult Health Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1740731421
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9344026 Issued in FL
Practice address
10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone
(352) 596-4660
Fax
(352) 596-4674
NPI assigned
Oct 18, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9344026 FL Primary

Addresses

Primary practice location

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389

Mailing address

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone (352) 596-4660

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203002582 FL Practitioner - Nurse Practitioner 0446533012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9344026FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idicula Medical Associates MD PA CurrentSince Oct 17, 2016 Accepting new patients
St Luke Heart Institute Inc PastSince Oct 17, 2016 Accepting new patients

Locations

10065 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-1229

10081 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4660

Interoperability endpoints

  • Direct secure messaging: douglas.pawling@imamp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1740731421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLING",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9344026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.