Active NPI
Phillip M Dascher, MD
- Surgery Physician
- Grand Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME32089
- Practice address
- 36211 Dascher LN
Grand Island, FL 32735-9614 - Phone
- (352) 636-4768
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME32089 | FL | Primary |
Addresses
Primary practice location
36211 Dascher LN
Grand Island, FL 32735-9614
Mailing address
36211 Dascher LN
Grand Island, FL 32735-9614
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00311613 | Other | RAILROAD MEDICARE | |
| 59256 | Other | FL | BCBS |
| 265700700 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32039 | FL | MD | Physical Medicine & Rehabilitation Physician |
| ME32089 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
| Professional Gastroenterology & Nutrition Associates, P.a. | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1290 Waterman Way
Tavares, FL 32778
Phone (352) 742-0054
1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760
Organizations & group practices 3
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Surgery
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Advanced Gastroenterology & Surgery Associates
- Gastroenterology Physician
- Leesburg, FL
- NPI 1215974498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1760439525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36211 DASCHER LN",
"city": "GRAND ISLAND",
"state": "FL",
"postal_code": "327359614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36211 DASCHER LN",
"city": "GRAND ISLAND",
"state": "FL",
"postal_code": "327359614",
"telephone_number": "352-636-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASCHER",
"first_name": "PHILLIP",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME32089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00311613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59256",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265700700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, FL
- Shane Bridgman, DNP, APRN, AGNP-BC
- Patricia Elaine Brown I
- Caring Hearts of Love, LLC
- Creation Care Services Inc
- Alan Rembrandt Damon
- Cheerly Dela Cruz Clifton, CHEERLY
- Emerald Green Limousine Services,Inc (E&G Transportation)
- First Line Health
- Denise Sprouse Harrison, M.ED.,CCC/SLP
- Michelle Ann Harrison, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.