Individual provider Active NPI

Douglas M Childs, DPM

  • Foot & Ankle Surgery Podiatrist
  • Apopka, FL
National Provider Identifier
1831163740
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2841 Issued in FL
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

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340198700MedicaidFL
P00126076OtherFLR/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000641 FL Practitioner - Podiatry 4789726563 Reassigns benefits to 3 organizations

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

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 Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue705
Removal or shaving of skin growth635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Orlando Foot and Ankle Clinic Inc Foot & Ankle Surgery CurrentSince Dec 1, 2001 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Orlando Foot and Ankle Clinic, Inc Foot & Ankle Surgery CurrentSince Dec 1, 2001 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • Direct secure messaging: douglas.childs@ofac.directbygreenway.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.