Active NPI
David A Doyle, PA
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1881642346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50002399
- Practice address
- 3825 Edwards Rd
Suite 300
Cincinnati, OH 45209-1287 - Phone
- (513) 221-1100
- Fax
- (513) 569-5297
- NPI assigned
- May 5, 2006
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50002399 | OH | Primary |
| Surgical Physician Assistant | 363AS0400X | 50.002399 | OH |
Addresses
Primary practice location
3825 Edwards Rd
Suite 300
Cincinnati, OH 45209-1287
Mailing address
PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64868045 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50002399 | OH | MD | Physician Assistant |
| 50.002399 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayfield Clinic Inc | Physician Assistant | Current | Accepting new patients |
| University Orthopaedic Consultants of Cincinnti, Inc. | Physician Assistant | Past | Accepting new patients |
| Laser Spine Institute, LLC | Past | Accepting new patients | |
| University of Cincinnati Physicians, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
3825 Edwards Rd
Ste 300
Cincinnati, OH 45209
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881642346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643398",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452643398",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EDWARDS RD",
"address_2": "SUITE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091287",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "DAVID",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50002399",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.002399",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64868045",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.