Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922071083 Individual Practitioner Male Practitioner

Dr. Jon C Douglas , AuD

Audiologist • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Douglas, AuD is a certified Audiologist practicing in Tampa, FL. With approximately 20 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2006, Dr. Douglas delivers high-quality medical care to the local community at 4202 E FOWLER AVE.

Dr. Douglas is affiliated with University Medical Service Association Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave

Tampa, FL 336208000

Telephone 8138218038
Fax 8139740483
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1578601654

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Tampa, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +9.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
115 Specialists

Practicing in Tampa, FL (1437 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Douglas (20 Years) 20 Yrs
Tampa Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-20
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41153000 (WI)
Medicaid State Provider ID
123109900 (FL)
Commercial Insurance / Payer ID Dean Health Insurance
60633 (WI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
E5VHB (FL)

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ricardo Rendel , MD

Surgery - Surgical Critical Care

NPI 1003311861

Doctor of Medicine (M.D.)

Dr. Divya Kondapi , MBBS

Internal Medicine - Infectious Disease

NPI 1013361708

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Benjamin Renne , MD

Surgery - Trauma Surgery

NPI 1023437837

Doctor of Medicine (M.D.)

Morgan Zegers

Psychiatry & Neurology - Neurocritical Care

NPI 1023578333
NPI 1023759859

Doctor of Osteopathic Medicine (D.O.)

Jaden Mangra , SW

Social Worker

NPI 1023860244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 20, 2024

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

📍
Updated Business Mailing Address August 20, 2024

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

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

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

📍
Updated Business Mailing Address November 30, 2016

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

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as JON DOUGLAS, AUD

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

Audiologist (License #500-156 in WI)

🟢
Initial NPI Registration & Enumeration February 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.