DR. EDWARD R DOUGLAS (NPI# 1467452813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467452813 |
| Entity Type | Individual |
| Full Name | DR. EDWARD R DOUGLAS |
| Credential | D.O. |
| Practice Address |
3829 S Jefferson Ave Springfield MO 65807-5376 |
| Practice Telephone | 4178905585 |
| Practice Fax Number | 4178770970 |
| Mailing Telephone | 4178905585 |
| Mailing Fax Number | 4178770970 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2011-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 2002013903 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831259092 | Edward Wakefield Douglas | Chiropractor | 916 Nw Park St, Okeechobee, FL 34972-4138 | 2006-12-11 |
| 1154984862 | Edward Douglas II | Psychiatry & Neurology | 850 Harrison Ave, Boston, MA 02118-4001 | 2019-04-18 |
| 1063702926 | Edward R Douglas | Pharmacist | 1825 W Palmetto St, Florence, SC 29501-4137 | 2011-04-12 |
| Street Address |
3829 S JEFFERSON AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457402752 | Advanced Alternative Healthcare, LLC | Neuromusculoskeletal Medicine & OMM | 3829 S Jefferson Ave, Springfield, MO 65807-5376 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1841250339 | Edward A Trudeau | Neuromusculoskeletal Medicine & OMM | 319 E Madison St Ste 2a, Springfield, IL 62701-1035 | 2006-03-27 |
| 1851390199 | Mark Maccollom Morris | Neuromusculoskeletal Medicine & OMM | 26 Millburn Ave, Springfield, NJ 07081-1071 | 2005-07-19 |
| 1649695917 | Stephanie Harris | Neuromusculoskeletal Medicine & OMM | 3355 Riverbend Dr, Springfield, OR 97477-8800 | 2014-02-24 |
| 1457402752 | Advanced Alternative Healthcare, LLC | Neuromusculoskeletal Medicine & OMM | 3829 S Jefferson Ave, Springfield, MO 65807-5376 | 2007-01-15 |
| 1578504171 | Stephen E. Popper | Neuromusculoskeletal Medicine & OMM | 2501 E High St, Springfield, OH 45505 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540347 | Ying Wang | Neuromusculoskeletal Medicine & OMM | 1516 S Osteopathy Ave Apt 3, Kirksville, MO 63501-1739 | 2019-07-23 |
| 1003254491 | David Frey Mendelson | Neuromusculoskeletal Medicine & OMM | 7906 Kingsbury Blvd, Saint Louis, MO 63105-3824 | 2013-06-07 |
| 1831459940 | Martin Jan Pryor | Neuromusculoskeletal Medicine & OMM | 315 S. Osteopathy Street, Attn: Gme, Kirksville, MO 63501-0491 | 2012-05-22 |
| 1912286592 | Amir Dori | Neuromusculoskeletal Medicine & OMM | 7530 Oxford Dr, Clayton, MO 63105-2808 | 2011-08-12 |
| 1609019736 | Steven Lee Funk | Neuromusculoskeletal Medicine & OMM | 509 E Harrison St, Kirksville, MO 63501-3141 | 2009-04-20 |
| 1629117742 | Rajiv L Yadava | Neuromusculoskeletal Medicine & OMM | 2355 Dougherty Ferry Rd Ste 320, St Louis, MO 63122-3325 | 2007-02-05 |
| 1457440513 | Kenneth A Zaremski | Neuromusculoskeletal Medicine & OMM | 2340 E Meyer Blvd Ste 200, Kansas City, MO 64132-1121 | 2006-10-12 |
| 1689776148 | Michael Gerald Knapp | Neuromusculoskeletal Medicine & OMM | 601 S Schifferdecker Ave, Joplin, MO 64801-3320 | 2006-09-03 |
| 1225141641 | Jay Brian Danto | Neuromusculoskeletal Medicine & OMM | 2901 Saint Johns Blvd, Joplin, MO 64804-1598 | 2006-08-17 |
| 1083643100 | Osteopathic Medical Arts, LLC | Neuromusculoskeletal Medicine & OMM | 27176 St Hwy 6 E, Kirksville, MO 63501 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.