STEVEN S DOUGLAS (NPI# 1235755091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235755091 |
| Entity Type | Individual |
| Full Name | STEVEN S DOUGLAS |
| Credential | HAD |
| Practice Address |
6424 E State Blvd Fort Wayne IN 46815-7025 |
| Mailing Address |
7525 Maplecrest Rd Ste 104 Fort Wayne IN 46835-1897 |
| Practice Telephone | 2607491818 |
| Mailing Telephone | 2604030234 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 17001443A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462037 | Steven Michael Douglas Jr. | Pharmacist | 710 N Wales Rd, North Wales, PA 19454-1725 | 2019-08-15 |
| 1215959036 | Steven D Douglas | Pediatrics | 3550 Market St Fl 3, Children's Hospital of Philadelphia - Allergy & Immun, Philadelphia, PA 19104-3365 | 2006-07-24 |
| 1497733893 | Steven L. Douglas | Family Medicine | 320 N Lincoln St, East Prairie, MO 63845-1160 | 2006-01-05 |
| Street Address |
6424 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525942 | Douglas Holding Group | Hearing Instrument Specialist | 6424 E State Blvd, Fort Wayne, IN 46815-7025 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525942 | Douglas Holding Group | Hearing Instrument Specialist | 6424 E State Blvd, Fort Wayne, IN 46815-7025 | 2016-05-05 |
| 1164817656 | Michele Bennington | Hearing Instrument Specialist | 7720 Lima Rd, Fort Wayne, IN 46818-2163 | 2015-04-01 |
| 1447640537 | Michael Joseph Hetrick | Hearing Instrument Specialist | 10437 Illinois Rd, Fort Wayne, IN 46814-9181 | 2015-01-28 |
| 1457699852 | Jessica Lee Skiver | Hearing Instrument Specialist | 4716 Illinois Rd Ste 102, Fort Wayne, IN 46804-5123 | 2013-01-21 |
| 1366714636 | Taylor A Autrey | Hearing Instrument Specialist | 9529 Founders Way, Fort Wayne, IN 46835-9232 | 2012-02-02 |
| 1265719975 | David M Lowry | Hearing Instrument Specialist | 4413 Winding Way Dr, Fort Wayne, IN 46835-1470 | 2011-11-09 |
| 1477846699 | Theodore Joseph-douglas Blanford | Hearing Instrument Specialist | 927 E Dupont Rd, Fort Wayne, IN 46825-1551 | 2011-05-20 |
| 1821226267 | Tlc Hearing Center Inc. | Hearing Instrument Specialist | 6704 Old Trail Rd, Fort Wayne, IN 46809-2639 | 2009-06-24 |
| 1770758047 | Audio Professionals, Inc. | Hearing Instrument Specialist | 6431 Bluffton Rd, Fort Wayne, IN 46809-2371 | 2008-04-28 |
| 1558838912 | Curt Michael Esterline | Hearing Instrument Specialist | 6736 Lima Rd, Fort Wayne, IN 46818-1118 | 2018-10-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on STEVEN S DOUGLAS.
| 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.