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Dr. Jon C Douglas , AuD

Audiologist β€’ Tampa, FL

Active NPI 1922071083 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4202 E Fowler Ave
Tampa, FL 336208000

Call 8138218038 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave

Tampa, FL 336208000

Telephone 8138218038
Fax 8139740483
Organization at the Same NPPES Address or Phone
University Of South Florida Facility NPI 1578601654

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Madison, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: University Medical Service Association Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2006

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Douglas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Tampa and Florida

117 active clinicians are listed under Audiologist with a practice address in Tampa, FL (1,417 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tampa

0% of these 117 clinicians have the CMS telehealth indicator.

29.9% of these 117 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-20
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES FL AY2811

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Audiologist

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES WI 500-156

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
41153000 (WI)
Medicaid ID
123109900 (FL)
Other Identifier Dean Health Insurance
60633 (WI)
Other Identifier Blue Cross Blue Shield
E5VHB (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED AUDIOLOGIST

Medicare Enrollment ID

I20240725001694

Enrollment State Jurisdiction

FL

PECOS Control ID

9638103880

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Medical Service Association Inc

4202 E Fowler Ave, Tampa, FL 336206750

Secondary Practice Locations

1975 Willow Dr, University Of Wisconsin Speech And Hearing Clinic

Madison, WI 537061103

Phone: 6082635804

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Justin Arnold , DO, MPH

Emergency Medicine - Medical Toxicology

NPI 1275768145

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Akram Audi , MD

Internal Medicine - Nephrology

NPI 1265841092

Doctor of Medicine (M.D.)

Madison Baker , PA-C

Physician Assistant - Surgical

NPI 1033965918

Physician Assistant (Certified)

Dr. Christopher Bitetzakis , DO

Internal Medicine - Cardiovascular Disease

NPI 1275996241

Doctor of Osteopathic Medicine (D.O.)

Yonatan Breiter , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033450184

Advanced Practice Registered Nurse

Dr. Jason Brown , DPT

Physical Therapist

NPI 1306274717

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 20, 2024

Registered at 4202 E FOWLER AVE, TAMPA, FL 336208000 (Tel: 8138218038)

πŸ“
Updated Business Mailing Address August 20, 2024

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

🏒
Secondary Practice Location Registered August 20, 2024

Additional practice office at 1975 Willow Dr, University of Wisconsin Speech and Hearing Clinic, Madison, WI 537061103

βœ…
NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2016

Registered at 1975 WILLOW DR, UNIVERSITY OF WISCONSIN SPEECH AND HEARING CLINIC, MADISON, WI 537061103 (Tel: 6082635804)

πŸ“
Business Mailing Address (Initial Record) November 30, 2016

Registered at 1500 HIGHLAND AVE, WAISMAN CENTER, MADISON, WI 537052274 (Tel: 6082635804)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2016

Recorded as JON DOUGLAS, AUD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Audiologist (license number reported to NPPES: WI 500-156)

🟒
Initial NPI Registration & Enumeration February 09, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922071083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2006
Last Update: August 20, 2024
Sole Proprietor: No

Other Audiologists in Tampa

All Audiologists in Tampa

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.