Active NPI
Mary Elizabeth D'Aunoy, M.D.
- Pediatrics Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME123469
- Practice address
- 601 S Florida Ave
Suite 6
Lakeland, FL 33801-5237 - Phone
- (863) 688-0841
- Fax
- (863) 616-9709
- NPI assigned
- Dec 12, 2006
- Last updated
- Sep 13, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME123469 | FL | Primary |
Addresses
Primary practice location
601 S Florida Ave
Suite 6
Lakeland, FL 33801-5237
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (863) 291-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015572400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Community Health Care, Inc | Current | Accepting new patients | |
| Foothills Community Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Foothills Community Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Foothills Community Health Care, Inc. | Current | Accepting new patients | |
| Foothills Community Health Care, Inc. | Past | Accepting new patients |
Locations
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841
106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 291-5117
47 5th St NW
Winter Haven, FL 33881
302 Pearman Dairy Rd
Ste C1
Anderson, SC 29625
Phone (864) 224-0822
110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283
403 Hillcrest Dr
Easley, SC 29640
Phone (864) 343-1220
403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220
Interoperability endpoints
- https://api.platform.athenahealth.com/fhir/r4
- mary.d.aunoy.1@30137.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
dba Foothills Community Healthcare-Anderson
- Federally Qualified Health Center (FQHC)
- Anderson, SC
- NPI 1063056661
-
- Federally Qualified Health Center (FQHC)
- Clemson, SC
- NPI 1538417951
-
dba Foothills Community Health Care Easley
- Federally Qualified Health Center (FQHC)
- Easley, SC
- NPI 1083169213
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
dba Central Florida Health Care, Inc. - Mulberry
- Federally Qualified Health Center (FQHC)
- Mulberry, FL
- NPI 1154746899
-
- Family Medicine Physician
- Anderson, SC
- NPI 1972369643
-
dba Foothills Community Health Care Inc Mobile
- Clinic/Center
- Easley, SC
- NPI 1861168155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1922169150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 5TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814672",
"telephone_number": "863-291-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S FLORIDA AVE",
"address_2": "SUITE 6",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015237",
"telephone_number": "863-688-0841",
"fax_number": "863-616-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AUNOY",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME123469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015572400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.