DR. GREGORY EDWARD DOUGLAS (NPI# 1194799650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194799650 |
Entity Type | Individual |
Full Name | DR. GREGORY EDWARD DOUGLAS |
Credential | MD |
Practice Address |
9281 Office Park Cir 120 Elk Grove CA 95758-8068 |
Practice Telephone | 9168961650 |
Practice Fax Number | 9168961959 |
Mailing Telephone | 9168961650 |
Mailing Fax Number | 9168961959 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2013-08-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | C39164 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00C391640 | 05 | |
CA | 00C391641 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841707536 | Gregory Douglas | Counselor | 575 S Main St Ste 6, Plymouth, MI 48170-1778 | 2018-01-04 |
1386045094 | Gregory Douglas | Counselor | 3155 Lake Worth Rd, Palm Springs, FL 33461-6917 | 2014-09-12 |
1568600625 | Gregory Landells Douglas | Social Worker | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2009-01-28 |
1144324823 | Gregory Lamont Douglas | Counselor | 1451 Dowell Springs Blvd, Knoxville, TN 37909-2441 | 2006-09-12 |
Street Address |
9281 OFFICE PARK CIR 120 |
City | ELK GROVE |
State | CA |
Zip Code | 95758-8068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093010159 | Laguna Family Practice | Clinic/Center | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2011-01-21 |
1497074363 | Glenda Goodwin Md Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-05-18 |
1316264641 | Laguna Family Practice, Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-04-26 |
1053641514 | Sarah Elizabeth Mcdowell | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2010-01-06 |
1699911818 | Kathleen Cassidy Peck | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2008-12-17 |
1831259530 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-12-11 |
1275609828 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-11-27 |
1972694289 | Jamie S Sherman | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-28 |
1578662128 | Yolanda H Valle | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-21 |
1144329715 | Ngoc Han D Vu | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
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Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407812142 | Jo Taylor Taylor | Obstetrics & Gynecology | 9045 Bruceville Rd Ste 190, Elk Grove, CA 95758-5951 | 2006-04-21 |
1073588026 | Jenifer Burkhalter | Obstetrics & Gynecology | 8170 Laguna Blvd Ste 304, Elk Grove, CA 95758-7903 | 2006-02-22 |
1730162421 | Zenja Watkins | Obstetrics & Gynecology | 9381 E Stockton Blvd, Suite 216, Elk Grove, CA 95624-5070 | 2005-11-28 |
1639165368 | Jean-claude Lucien Veille | Obstetrics & Gynecology | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2005-09-27 |
1588027346 | Kimberly Collins | Obstetrics & Gynecology | 8170 Laguna Blvd Ste 304, Elk Grove, CA 95758-7903 | 2016-03-30 |
1699094706 | Glenda Goodwin Md Inc | Obstetrics & Gynecology | 7811 Laguna Blvd, Suite 216, Elk Grove, CA 95758-7941 | 2010-05-28 |
1497074363 | Glenda Goodwin Md Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-05-18 |
1316264641 | Laguna Family Practice, Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-04-26 |
1326213612 | Tiffany Shu | Obstetrics & Gynecology | 9201 Big Horn Blvd, Dept. Ob/gyn, Elk Grove, CA 95758-1240 | 2008-04-28 |
1518143049 | Zenja Watkins Md Inc | Obstetrics & Gynecology | 9381 E Stockton Blvd, Suite 216, Elk Grove, CA 95624-5070 | 2008-01-15 |
Find all providers in ELK GROVE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.