MARK JASON DOUGLAS (NPI# 1679576516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679576516 |
| Entity Type | Individual |
| Full Name | MARK JASON DOUGLAS |
| Credential | M.D. |
| Practice Address |
2880 Dauphin St Mobile AL 36606-2457 |
| Practice Telephone | 2514731900 |
| Practice Fax Number | 2514708943 |
| Mailing Telephone | 2514731900 |
| Mailing Fax Number | 2514708943 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 00020396 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS OF AL PROV # | 51502488 | 01 |
| AL | BLUE CROSS AL PROV # | 51536524 | 01 |
| AL | BLUE CROSS AL PROV # | 51506459 | 01 |
| MS | 00124755 | 05 | |
| AL | BLUE CROSS OF AL PROV # | 51505297 | 01 |
| AL | BLUE CROSS AL PROV # | 51506756 | 01 |
| AL | BLUE CROSS AL PROV # | 51506758 | 01 |
| AL | BLUE CROSS AL PROV # | 51531041 | 01 |
| AL | UNITED HEALTHCARE PROV # | 0810439 | 01 |
| AL | AETNA PROVIDER # | 7070250 | 01 |
| AL | HEALTHSPRING PROVIDER # | H07553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306974464 | Mark L Douglas | Internal Medicine | 5098 West Washington St, Ste 408, Cross Lanes, WV 25313-1419 | 2007-03-01 |
| 1144388398 | Mark S Douglas | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2006-12-04 |
| 1508475062 | Mark Douglas | Social Worker | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2020-07-30 |
| 1649335118 | Mark Stephen Douglas | Dermatology | 2080 Child St, Department of Dermatology - Naval Hospital Jacksonville, Jacksonville, FL 32214-5005 | 2006-12-26 |
| 1033226923 | Mark A Douglas | Recreation Therapist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1326050410 | Mark A Douglas | Emergency Medicine | 1 Medical Center Drive, Biddeford, ME 04005 | 2006-08-13 |
| Street Address |
2880 DAUPHIN ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263577 | Stuart Furtwangle Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-05-23 |
| 1861003899 | Lauren Taylor Okeefe | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2020-08-13 |
| 1295361285 | Crystal Shay Woodward | Nurse Practitioner | 2880 Dauphin St, Mobile, AL 36606-2457 | 2020-03-21 |
| 1861045221 | Rebecca Ann Laurence | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2019-07-24 |
| 1295231264 | William Franklin Stringer Jr. | Optometrist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2018-03-30 |
| 1558873661 | Carissa M Pessia | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2017-10-30 |
| 1528479987 | Stuart R Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-05-19 |
| 1083034367 | Kent L. Burton | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-04-24 |
| 1811330913 | Ashley Gaal Flagge | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2013-04-09 |
| 1578854766 | Ryan Burton | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2011-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437217437 | Eduardo Carlos Baranano | Ophthalmology | 1557 Spring Hill Ave, Mobile, AL 36604-3218 | 2006-12-04 |
| 1366492365 | Alan Jay Franklin | Ophthalmology | 1720 Spring Hill Ave Ste 300, Mobile, AL 36604-1409 | 2006-05-11 |
| 1114999729 | Mark Scott Brown | Ophthalmology | 601 Providence Park Dr, Mobile, AL 36695-4617 | 2006-02-07 |
| 1154393726 | Saunders L Hupp | Ophthalmology | 601 Providence Park Dr E, Mobile, AL 36695-4617 | 2006-02-07 |
| 1548263577 | Stuart Furtwangle Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-05-23 |
| 1437717865 | Usa Health Physician Billing Services LLC | Ophthalmology | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1013370832 | Jeffrey St. John | Ophthalmology | 601 Providence Park Dr E, Mobile, AL 36695-4617 | 2016-03-30 |
| 1477914950 | University of South Alabama | Ophthalmology | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1841609724 | Sean Allison Md PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2014-08-05 |
| 1528479987 | Stuart R Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-05-19 |
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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.