MR. STEPHEN KIRK DOUGLAS (NPI# 1497733109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497733109 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN KIRK DOUGLAS |
| Credential | NP |
| Practice Address |
2675 Foxpointe Drive Suite B Columbus IN 47203 |
| Mailing Address |
1481 W 10th St Indianapolis IN 46202-2803 |
| Practice Telephone | 8123750000 |
| Practice Fax Number | 8123750711 |
| Mailing Telephone | 3179882972 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71001649A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS BLUE SHIELD | 000000321795 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417976044 | Stephen M Douglas | Physical Therapist | 217 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-07-18 |
| 1811190127 | Stephen Aaron Douglas | Dentist | 5303 Colleyville Blvd, Colleyville, TX 76034 | 2007-06-06 |
| 1952423832 | Stephen Douglas | Psychologist | 785 E Broad St, Columbus, OH 43205-1013 | 2007-04-04 |
| Street Address |
2675 FOXPOINTE DRIVE SUITE B |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760894679 | Katie Elizabeth Finke | Physical Therapist | 2675 Foxpointe Drive, Suite D, Columbus, IN 47203 | 2014-05-27 |
| 1568517712 | Columbus Spine & Neurosurgery Services | Specialist | 2675 Foxpointe Drive, Suite B, Columbus, IN 47203-3390 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1083224315 | Lalanna Renee Shawgo | Nurse Practitioner | 2108 Thistlewood Dr, Columbus, OH 43235-4274 | 2020-08-02 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1437636115 | Elliot Rodriguez | Nurse Practitioner | 376 W.10th Avenue, 760 Prior Hall, Columbus, OH 43210-1238 | 2018-07-25 |
| 1962926279 | Melanie Coyne | Nurse Practitioner | 101 13th St Ste 200, Columbus, GA 31901-2183 | 2017-07-28 |
| 1750811568 | Julie M. Bess | Nurse Practitioner | 452 W. 10th Avenue, Columbus, OH 43210-1240 | 2017-06-14 |
| 1447669338 | Rachel Elizabeth Rose | Nurse Practitioner | 300 W.10th Ave., Columbus, OH 43210 | 2014-08-05 |
| 1497167449 | Michele L. Lozano | Nurse Practitioner | 460 W 10th Ave # C1021, Columbus, OH 43210-1240 | 2014-05-27 |
| 1538570429 | Nicole A. Allen-payne | Nurse Practitioner | 460 W 10th Ave Fl 11, Columbus, OH 43210-1240 | 2014-05-13 |
| 1912506320 | Qizhi Cao | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-19 |
| Find all providers in COLUMBUS | ||||
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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.