DONALD G DOUGLAS


Address: 705 Pleasant Ave S, Park Rapids, MN 56470-1440
Phone: 2187322800

DONALD G DOUGLAS (NPI# 1366499675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366499675
Entity Type Individual
Full Name DONALD G DOUGLAS
Credential MD
Practice Address 705 Pleasant Ave S
Park Rapids
MN 56470-1440
Practice Telephone 2187322800
Practice Fax Number 2187322857
Mailing Telephone 2187322800
Mailing Fax Number 2187322857
Enumeration Date 2006-05-30
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
24647 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN SIOUX VALLEY # 5154 01
MN UCARE # 126482 01
MN NDBS # 13026 01
MN MEDICA # 1600863 01
MN NDBS # 12915 01
MN HEALTHPARTNERS # HP25735 01
MN 18686 05
MN AMERICA'S PPO/ARAZ # 765067 01
MN PREFERRED ONE # FS9041015681 01
MN LHS/BANNERHEALTH # MN200003 01
MN MNBS # 8T818DO 01

Other Providers DONALD DOUGLAS

NPI Name Taxonomy Address Enumeration
1851385793 Donald Stratton Douglas Internal Medicine 3510 Richmond Rd, Suite C, Texarkana, TX 75503-0705 2005-09-07
1174046429 Donald Douglas Clinic/Center 18646 Oxnard St, Tarzana, CA 91356-1411 2017-07-19
1447301932 Donald R Douglas Physician Assistant 10321 Kingston Pike, Knoxville, TN 37922-3224 2007-01-13
1053416313 Donald R. Douglas Anesthesiology 2537 Larkin Rd, Lexington, KY 40503-3201 2006-09-13
1144334509 Donald Steven Douglas Specialist 624 Hospital Dr, Pathology Dept, Mountain Home, AR 72653-2955 2006-08-19
1700812609 Donald E Douglas Nurse Anesthetist, Certified Registered 127 South Broadway, St Josephs Medical Center, Yonkers, NY 10701-0000 2006-06-23
1245212042 Donald P Douglas Specialist 8750 Transit Rd, Suite 105, East Amherst, NY 14051-2610 2005-11-17
1063400430 Donald Edward Douglas Physical Therapist 2700 Quarry Lake Dr, #300, Baltimore, MD 21209-3746 2005-10-11

Office Location

Street Address 705 PLEASANT AVE S
City PARK RAPIDS
State MN
Zip Code 56470-1440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275513772 Holly C Wright Nurse Practitioner 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2006-01-19
1528616018 Lydia Schroeder Physician Assistant 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2019-08-28
1811545437 Jessica Katherine Malinowski Dermatology 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2019-08-27
1689239576 Cassie M Kurtz Advanced Practice Midwife 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2019-05-06
1073071924 Kayse J Aho Speech-Language Pathologist 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2019-03-11
1609389279 Kia Danielle Alton Speech-Language Pathologist 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2017-11-06
1669998571 St Mary's Regional Health Center Occupational Therapist 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2017-08-22
1215471529 Angela Turnow Physical Therapist 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2016-12-06
1770034027 Rhea Wenschlag Physician Assistant 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2016-10-21
1396299079 Heather Foresman Advanced Practice Midwife 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2016-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693542 Joshua M Still Physical Therapist 829 Lake Ave S, Suite B, Park Rapids, MN 56470 2020-09-09
1730731464 St Marys Regional Health Center Clinic/Center 1103 1st St E, Park Rapids, MN 56470 2019-07-12
1174091904 Amanda Marie Slaikeu Physical Therapist 705 Pleasant Avenue South, Park Rapids, MN 56470 2018-11-09
1184965261 Hubbard County Sheriff's Office Secured Medical Transport (VAN) 203 Court Ave, Park Rapids, MN 56470 2013-03-14
1134481666 Michelle Lynn Rice Physical Therapy Assistant 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 2012-06-11
1790047355 Amanda Dawn Runyan Physical Therapist 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 2012-06-11
1629330279 Lois G. Mcclatchie Physical Therapist 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 2012-06-11
1376832576 Ryan G Strasburg Nurse Anesthetist, Certified Registered 506 Henrietta Ave N, Park Rapids, MN 56470 2011-03-29
1891966479 Jay C Jorgenson Dds Pa Dentist 406 Pleasant Ave, Park Rapids, MN 56470 2008-03-21
1629250063 Five Star Living of Park Rapids, LLC Assisted Living Facility 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 2007-11-28
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457967234 Central Imaging LLC Radiology 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 2020-09-17
1053930578 Dmitriy Shchegolev Radiology 14346 Wilson Dr, Eden Prairie, MN 55347-4179 2020-04-14
1306333109 John Warren Kirby Radiology 200 1st St Sw # 507284, Rochester, MN 55905 2018-04-17
1861904765 Stephanie Dykema Radiology 6809 Sandlewood Rd, Woodbury, MN 55125-2175 2017-10-31
1609392349 Rai Keystone Imaging Services, LLC Radiology 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 2017-08-15
1235687088 Jeffery E. Illman Radiology 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 2016-09-21
1407226582 Keith W. Johnson Radiology 450 Bayview Dr, Roseville, MN 55113-6907 2015-10-01
1164765822 Robben Andrew Schat Radiology 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 2013-04-01
1326363102 Gilda Boroumand Radiology 1901 Irving Ave S, Minneapolis, MN 55403-2824 2010-04-05
1477880276 Siobhan Moira Flanagan Radiology Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 2009-11-16
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Competitor

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City PARK RAPIDS
Zip Code 56470

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Dataset Information

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.

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