WILLIAM MCDOUGALL (NPI# 1598763302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598763302 |
| Entity Type | Individual |
| Full Name | WILLIAM MCDOUGALL |
| Credential | DO |
| Practice Address |
648 Chetco Ave Brookings OR 97415-8010 |
| Mailing Address |
Po Box 5299 Brookings OR 97415-0102 |
| Practice Telephone | 5418131797 |
| Practice Fax Number | 5418131801 |
| Mailing Telephone | 5418131797 |
| Mailing Fax Number | 5418131801 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D024746 | OR | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | DO24746 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 20A7843 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068203 | William Paul Mcdougall Iv | Counselor | 2521 Alameda St, Vallejo, CA 94590-2403 | 2019-01-31 |
| 1417336603 | William Cochran Mcdougall Iv | Neuromusculoskeletal Medicine & OMM | 149 North St, Waterville, ME 04901-4974 | 2015-05-21 |
| 1760799977 | William Todd Mcdougall | Chiropractor | 44 Montgomery St, Waynesville, NC 28786-5714 | 2010-09-09 |
| 1700996204 | William A Mcdougall | Surgery | 2655 County Highway I, Chippewa Falls, WI 54729 | 2006-08-30 |
| Street Address |
648 CHETCO AVE |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-8010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956312 | Stacy Rae Kreger | Nurse Practitioner | 648 Chetco Ave, Brookings, OR 97415-8010 | 2019-01-16 |
| 1841503109 | Medford Radiological Group PC | Radiology | 648 Chetco Ave, Brookings, OR 97415 | 2010-07-15 |
| 1871621623 | Chetco Anesthesia Services LLC | Anesthesiology | 648 Chetco Ave, Brookings, OR 97415 | 2007-03-02 |
| 1427067388 | A M M S Inc | Nurse Anesthetist, Certified Registered | 648 Chetco Ave, Brookings, OR 97415 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437166311 | Donald J Venes | Internal Medicine | 555 5th Street, Suite 2, Brookings, OR 97415 | 2006-08-02 |
| 1427305721 | Jennifer Elaine Williamson | Internal Medicine | 400 22nd Ave, Brookings, SD 57006-2450 | 2012-08-07 |
| 1366679581 | Thomas Joseph Martinelli Md A Professional Corp | Internal Medicine | 413 Mill Beach Rd, Brookings, OR 97415-9690 | 2009-06-15 |
| 1386844926 | Michael Kenneth Shaw | Internal Medicine | 555 5th St, Suite #1, Brookings, OR 97415-9730 | 2007-07-23 |
| 1760532048 | Satish C. Saxena | Internal Medicine | 400 22nd Ave., Brookings, SD 57006-2497 | 2007-01-11 |
| 1225186570 | Eric M. Murunga | Internal Medicine | 400 22nd Ave., Brookings, SD 57006-2497 | 2007-01-05 |
| 1063422608 | Alexander Leighton | Internal Medicine | 555 5th Street, Suite 2, Brookings, OR 97415 | 2006-08-08 |
| 1194731703 | Juliane Leighton | Internal Medicine | 555 5th St, Suite 2, Brookings, OR 97415-9702 | 2006-08-01 |
| 1912955931 | Richard P. Holm | Internal Medicine | 400 22nd Ave., Brookings, SD 57006-2497 | 2006-05-04 |
| 1700844131 | Daniel Cecil | Internal Medicine | 400 22nd Ave, Brookings, SD 57006-2497 | 2006-05-03 |
| Find all providers in BROOKINGS | ||||
Please comment or provide details below to improve the information on WILLIAM MCDOUGALL.
| 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.