DR. DOUGLAS H BRYAN (NPI# 1285743955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285743955 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS H BRYAN |
| Credential | MD |
| Practice Address |
2000 Lake Ave Woodstock IL 60098-7401 |
| Practice Telephone | 8153377100 |
| Mailing Telephone | 8153377100 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | 48880 | WI | Allopathic & Osteopathic Physicians |
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34696800 | 05 | |
| IL | 036114015 1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669759346 | Douglas Bryan | Counselor | 8000 E Prentice Ave, Bldg. B Suite 13, Greenwood Village, CO 80111-2744 | 2011-11-09 |
| 1558548263 | Douglas F Bryan | Physician Assistant | 1218 S Broadway, Suite 310, Lexington, KY 40504-2759 | 2008-01-24 |
| Street Address |
2000 LAKE AVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389953 | Anil K Khemani | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2005-07-12 |
| 1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
| 1417456476 | Matthew R. Banks | Physical Therapy Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2018-02-06 |
| 1801247176 | Guoqing Song | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2016-06-28 |
| 1114398930 | Norman J Mecwan | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2015-10-20 |
| 1669883971 | Jenna M Raju | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-05-09 |
| 1508281114 | Lawrence Thomas Walsh Jr. | Pharmacist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-02-19 |
| 1548696404 | Laura Lynn Dickman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-09-23 |
| 1922346220 | Naomi M Tamparong | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-01-21 |
| 1649523838 | Kelly Marie Winkelman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699856385 | Rhonda Rouse Wachsmuth | Surgery | 900 Towne Lake Pkwy Ste 312, Woodstock, GA 30189-1604 | 2006-10-18 |
| 1588913941 | James Kleinschmidt | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2012-08-31 |
| 1649444704 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2008-04-18 |
| 1033319744 | Grant Collins Wolfe | Surgery | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1600 | 2007-07-20 |
| 1740305408 | Georgia Breast Care, P.C. | Surgery | 900 Towne Lake Pkwy Ste 312, Woodstock, GA 30189-1604 | 2007-03-20 |
| 1720118680 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.