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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24647 | MN | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| Street Address |
705 PLEASANT AVE S |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1440 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 56470 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
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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.