DR. JUSTIN WAYNE DOUGLAS (NPI# 1326210857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326210857 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WAYNE DOUGLAS |
| Credential | MD |
| Practice Address |
120 W Main St Covington VA 24426-1449 |
| Mailing Address |
206 Skylar Dr Lewisburg WV 24901-9383 |
| Practice Telephone | 5408620007 |
| Mailing Telephone | 6813183540 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101263258 | VA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 23770 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV MEDICAL LICENSE | 23770 | 01 |
| VA | VA MEDICAL LICENSE | 0101263258 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 Skylar Dr, Lewisburg, WV 249019383 | 6813183540 | |
| 1 Arh Lane, Suite 202, Low Moor, VA 24457 | 5408627181 | 5408620034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682480 | Justin Lee Douglas | Dentist | 210 Granny White Pike, Brentwood, TN 37027-5744 | 2007-03-29 |
| 1841820099 | Justin D Douglas | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-01-16 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| Street Address |
120 W MAIN ST |
| City | COVINGTON |
| State | VA |
| Zip Code | 24426-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547759 | Franklin Owen Keeney | Pharmacist | 313 W. Thacker Rd, Covington, VA 24426 | 2018-08-08 |
| 1528410065 | Rainelle Medical Center, Inc. | Clinic/Center | 539 Parklin Drive, Covington, VA 24426 | 2016-07-08 |
| 1588005086 | City of Covington | Ambulance | 435 W. Hawthorne Street, Covington, VA 24426 | 2013-07-12 |
| 1154630879 | Dawn Walton Wilson | Social Worker | 2708 Potts Creed Rd., Covington, VA 24426 | 2010-09-29 |
| 1760719405 | Family Preservation Services, Inc. | Community/Behavioral Health | 560 Indian Valley Road, Covington, VA 24426 | 2009-11-17 |
| 1568624203 | James I Gilbert IIi Dds Inc | Dentist | 229 N Monroe Avenue, Covington, VA 24426 | 2008-06-25 |
| 1245413368 | Dunlap Volunteer Fire Department and Rescue Squad, Inc. | Ambulance | 4115 Midland Trail, Covington, VA 24426 | 2007-12-12 |
| 1902857683 | Krishna Sankar | Specialist | 201 Interstate Drive, Covington, VA 24426 | 2006-05-15 |
| 1235196973 | James I Gilbert IIi | Dentist | 229 North Monroe Avenue, Covington, VA 24426 | 2006-04-27 |
| 1528495553 | Family Preservation Services, Inc | Community/Behavioral Health | 319 Main Street, Covington, VA 24426 | 2013-10-04 |
| Find all providers in zip 24426 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834177 | Compassio, LLC | Otolaryngology | 616 S Jahncke Ave, Covington, LA 70433-3719 | 2020-09-08 |
| 1477927838 | Smart Sinus and Allergy Louisiana LLC | Otolaryngology | 73100 E Stadium Dr, Covington, LA 70433-1008 | 2015-11-23 |
| 1386604494 | Richard Graham Boyce | Otolaryngology | 350 Lakeview Ct, Suite A, Covington, LA 70433-7514 | 2006-03-23 |
| 1548269772 | Kevin Earl Mclaughlin | Otolaryngology | 350 Lakeview Ct Ste A, Covington, LA 70433-7514 | 2005-07-19 |
| 1750636809 | Kyle Patrick Mcmullen | Otolaryngology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2012-07-16 |
| 1154581395 | John Lewis Sfondouris | Otolaryngology | 1202 S Tyler St, Covington, LA 70433 | 2008-06-11 |
| 1134310162 | Steven Kendall Burkhead | Otolaryngology | 17700 Se 272nd St, Covington, WA 98042-4951 | 2007-08-06 |
| 1467478750 | Stephen Cobert | Otolaryngology | 17700 Se 272nd St, Covington, WA 98042-4951 | 2006-07-14 |
| 1629006325 | Kevin E. Mclaughlin, M.d., Apmc | Otolaryngology | 350 Lakeview Ct, Suite A, Covington, LA 70433-7514 | 2006-06-29 |
| 1710948724 | Roger Earl Bowie | Otolaryngology | 1000 Ochsner Blvd., Covington, LA 70433 | 2006-03-29 |
| Find all providers in COVINGTON | ||||
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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.