MR. DAVID DOUGLAS


Address: 904 S Pine St, Richland, MO 65556-7393
Phone: 5737652956

MR. DAVID DOUGLAS (NPI# 1396760476) 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) 1396760476
Entity Type Individual
Full Name MR. DAVID DOUGLAS
Credential P.A.C
Practice Address 904 S Pine St
Richland
MO 65556-7393
Mailing Address Po Box 2580
Springfield
MO 65801-2580
Practice Telephone 5737652956
Mailing Telephone 4178294620
Enumeration Date 2006-07-12
Last Update Date 2014-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2004022171 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO BC, HARTVILLE MEDICAL CEN 202941 01
MO BC, VALLEY MEDICAL CENTER 202943 01

Other Providers DAVID DOUGLAS

NPI Name Taxonomy Address Enumeration
1457475089 David Stuart Douglas Social Worker 279 Massachusetts Ave, Arlington, MA 02474-8302 2007-03-19
1891853081 David Rodney Douglas Dentist 7321 11th Street, Bldg 570, Hill Afb, UT 84056 2006-12-04
1376575076 David Wood Douglas Dentist 17455 Douglas Rd, Suite 1, South Bend, IN 46635-1732 2006-07-06
1063673556 David Douglas Radiology 300 Pasteur Dr, Stanford, CA 94305-2200 2008-06-18
1932240207 David Douglas Physician Assistant 1745 W 7800 S, West Jordan, UT 84088-4017 2007-02-09
1881702843 David G Douglas Radiologic Technologist 2002 Holcombe Blvd, Houston, TX 77030-4211 2006-08-29
1407863376 David Douglas Social Worker Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 2006-08-02
1154340420 David W Douglas Family Medicine 330 Lynnway, Suite 109a, Lynn, MA 01901-1706 2006-07-18
1003842832 David Morrison Douglas Psychiatry & Neurology 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2006-06-23
1710926860 David Waymon Douglas Emergency Medicine 1 Trillium Way, Corbin, KY 40701-8426 2006-06-05

Office Location

Street Address 904 S PINE ST
City RICHLAND
State MO
Zip Code 65556-7393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437596160 Mercy Hospital Lebanon Clinic/Center 904 S Pine St, Richland, MO 65556-7393 2013-06-04
1972635639 Mercy Clinic-springfield Communities Family Medicine 904 S Pine St, Richland, MO 65556 2007-03-09
1063583573 Karen B. Hopkins Internal Medicine 904 S Pine St, Richland, MO 65556-7393 2006-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932706603 Heaven's Hope LLC Custodial Care Facility 25300 Rio Road, Richland, MO 65556 2020-10-06
1083964399 Kimberly Sue Sutton Speech-Language Pathologist 400 Tri County, Richland, MO 65556 2012-09-13
1326234329 Stockstills Pharmacy Inc Pharmacy 104 W Mcclurg Ave, Richland, MO 65556 2007-09-24
1477606473 Jan S Harmon Psyd Pa Clinical Neuropsychologist 209 Dublin Lane, Richland, MO 65556 2007-01-21
1952402620 Hilton Health and Wellness Chiropractic L.L.C. Chiropractor 120 W. Mcclurg Ave., Richland, MO 65556 2006-09-26
1619985959 Shad Alan Hilton Chiropractor 120 W. Mcclurg Ave, Richland, MO 65556 2006-08-03
1386625788 Jonk LLC Durable Medical Equipment & Medical Supplies 609 W Washington Ave, Richland, MO 65556 2005-11-11
1366958332 Rachel Fenton Speech-Language Pathologist Po Box 756, Richland, MO 65556-0756 2017-12-28
1982748091 Richland Care Center, Inc. Skilled Nursing Facility 400 Tri-county Lane, Richland, MO 65556-0756 2007-02-20
1447766621 Laurie Jo Sparr Nurse Practitioner Po Box 777, Richland, MO 65556-0777 2017-12-25
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720698814 Jayven Sadae Heilman-moore Physician Assistant 2847 Riverbend Dr, Richland, WA 99354-2202 2020-08-04
1467910265 Sydney Cejka Physician Assistant 2148 Sheridan Pl, Richland, WA 99352-8440 2019-03-11
1891277448 Tyler Andrew Burgett Physician Assistant 1015 Marshall Ave, Richland, WA 99354 2018-08-30
1982122578 Merissa Yvonne Stoops Physician Assistant 780 Swift Blvd Ste 101, Richland, WA 99352-3545 2017-09-02
1821403320 Precious Alexandra Ravina Stone Physician Assistant 1100 Goethals Dr Ste B, Richland, WA 99352-3301 2014-06-24
1255762647 Daric Craven Physician Assistant 2435 Stevens Center Pl # Ms 10-a, Richland, WA 99354-1874 2013-12-10
1356616163 Marissa Ann Parsons Physician Assistant 560 Gage Blvd Suite 260, Kadlec Clinic South Richland Primary Care, Richland, WA 99352 2012-03-12
1275838385 Joel Quiroz Physician Assistant 560 Gage Blvd Suite 206, Richland, WA 99352 2011-01-20
1437309267 Matthew A. Huwe Physician Assistant 780 Swift Blvd Ste 301, Richland, WA 99352 2008-09-29
1790747665 Gregory P Mindock Physician Assistant 8906 M 89, Richland, MI 49083 2006-04-05
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City RICHLAND
Zip Code 65556

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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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