Individual provider Active NPI

Derrell L. Billington, D.O.

  • Emergency Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1962454942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS4132 Issued in FL
Practice address
809 E Marion Ave
Punta Gorda, FL 33950-3819
Phone
(941) 637-2529
NPI assigned
May 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS4132 FL Primary

Addresses

Primary practice location

809 E Marion Ave
Punta Gorda, FL 33950-3819

Mailing address

537 Park Estates SQ
Venice, FL 34293-4181

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000196 FL Practitioner - Emergency MedicinePractitioner - General Practice 8325936651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4132FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Healthcare Physical Medicine, PLLC Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Gulf Coast Emergency Physicians PA Emergency Medicine Past Accepting new patients
Venice Emergency Medical Associates PA Emergency Medicine Past Accepting new patients
Pride Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Fawcett Memorial Hospital Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962454942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 PARK ESTATES SQ",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503819",
            "telephone_number": "941-637-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGTON",
        "first_name": "DERRELL",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.