Active NPI
Richard James Doviak II, M.D.
- Anesthesiology Physician
- Lakeland, FL
National Provider Identifier
1811993777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME80523
- Practice address
- 3340 Lakeland Hills Blvd
Lakeland, FL 33805-1974 - Phone
- (352) 867-8898
- Fax
- (352) 732-6282
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME80523 | FL | Primary |
Addresses
Primary practice location
3340 Lakeland Hills Blvd
Lakeland, FL 33805-1974
Mailing address
PO Box 91713
Lakeland, FL 33804-1713
Phone (352) 867-8898
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03817 | Other | FL | BCBS ID # |
| 265543800 | Medicaid | FL | |
| 2939612 | Other | FL | AETNA INS. ID# |
| 111964 | Medicaid | FL | |
| N204684 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80523 | FL | MD | Anesthesiology Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1811993777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91713",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338041713",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338051974",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVIAK",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME80523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "03817",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265543800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS. ID#",
"identifier": "2939612",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111964",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N204684",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Melva Dorsey, REGISTERED CSWI
- Mary Nelle James Dotson, D.C.
- Kristi Lynn Dotter, MSN, FNP-C, NNP-BC
- Kimberly Faith Douglas, RBT
- Stephanie Douthit, LPN
- Daryl Dowding, LMHC
- Cierra Victoria Downs, CLC
- Downtown Counseling, P.a.
- Dr Debra Pavlovic PA Atlas Wellness of Lakeland (Atlas Wellness of Lakeland)
- Dr Ellen Suarez-Pinzas PSYD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.