Individual provider Active NPI

Phillip M Dascher, MD

  • Surgery Physician
  • Grand Island, FL
National Provider Identifier
1760439525
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME32089 Issued in FL
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

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00311613OtherRAILROAD MEDICARE
59256OtherFLBCBS
265700700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000300 FL Practitioner - General Surgery 1557267887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32039FLMDPhysical Medicine & Rehabilitation Physician
ME32089FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Apr 1, 2006 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Apr 1, 2006 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.

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

Sources for this page

Verify at the official NPI Registry.