Maurice M. Douek, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101042724 Issued in VA

Practice address

3033 Winkler Avenue Ext
Fort Myers, FL 33916-9413

Phone

(239) 939-3939

NPI assigned

Jun 17, 2006

Last updated

Apr 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Skyline Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Culpeper, VA
  • NPI 1669428033
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460246400000",
    "number": "1811932825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 SEASIDE HARBOUR DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037111",
            "telephone_number": "239-690-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVENUE EXT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169413",
            "telephone_number": "239-939-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUEK",
        "first_name": "MAURICE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101042724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6097987",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arie P. Dosoretz, MD
• Elizabeth N Dosoretz, LCSW
• Rimal Hanif Dossani, MD
• William Fredrick Dotson II, M.D.
• Jay Joseph Doucet, MD
• Cathleen Dougherty, MD
• Emily Dougherty, RBT
• Lauren Marie Dougherty, MS CCC-SLP
• Lexi Dougherty, APRN
• Stefani Dougherty

• Emergency Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.