Active NPI
Douglas M Childs, DPM
- Foot & Ankle Surgery Podiatrist
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 2841
- Practice address
- 202 N Park Ave
Suite 500
Apopka, FL 32703 - Phone
- (407) 410-1234
- Fax
- (407) 410-0149
- NPI assigned
- Feb 15, 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 2841 | FL | Primary |
Addresses
Primary practice location
202 N Park Ave
Suite 500
Apopka, FL 32703
Mailing address
3165 McCrory PL
Suite 174
Orlando, FL 32803-3771
Phone (407) 423-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340198700 | Medicaid | FL | |
| P00126076 | Other | FL | R/R MEDICARE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
202 N Park Ave
Suite 500
Apopka, FL 32703-4148
Phone (407) 410-1234
Hospital & facility affiliations
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 705 |
| Removal or shaving of skin growth | 635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Orlando Foot and Ankle Clinic Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Orlando Foot and Ankle Clinic, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
202 N Park Ave
Ste 500
Apopka, FL 32703
Phone (407) 410-1234
819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
3165 McCrory Pl
Ste 174
Orlando, FL 32803
Phone 40742312341003
102 Woodmont Blvd
Ste 450
Nashville, TN 37205
4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171
Interoperability endpoints
- https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
- douglas.childs@ofac.directbygreenway.com
- douglas.childs.2@4399.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Foot & Ankle Surgery Podiatrist
- Orlando, FL
- NPI 1235559188
-
- Foot & Ankle Surgery Podiatrist
- Clermont, FL
- NPI 1053420836
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1831163740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3165 MCCRORY PL",
"address_2": "SUITE 174",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033771",
"telephone_number": "407-423-1234",
"fax_number": "407-517-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N PARK AVE",
"address_2": "SUITE 500",
"city": "APOPKA",
"state": "FL",
"postal_code": "32703",
"telephone_number": "407-410-1234",
"fax_number": "407-410-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "DOUGLAS",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 2841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340198700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MEDICARE",
"identifier": "P00126076",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.