Active NPI
David Nicker, MD
- Emergency Medicine Physician
- Safety Harbor, FL
National Provider Identifier
1952317802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME73441
- Practice address
- 3231 McMullen Booth Rd
Safety Harbor, FL 34695 - Phone
- (727) 725-6100
- Fax
- (727) 725-6118
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME73441 | FL | Primary |
Addresses
Primary practice location
3231 McMullen Booth Rd
Safety Harbor, FL 34695
Mailing address
10503 Greensprings Dr
Tampa, FL 33626-1724
Phone (813) 792-1188
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Coastline Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Dunedin, FL
- NPI 1891744769
-
- Emergency Medicine Physician
- Safety Harbor, FL
- NPI 1487225827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952317802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 GREENSPRINGS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261724",
"telephone_number": "813-792-1188",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "34695",
"telephone_number": "727-725-6100",
"fax_number": "727-725-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME73441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.