DR. JILLIAN LEIGH DOUGLAS (NPI# 1851564256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851564256 |
| Entity Type | Individual |
| Full Name | DR. JILLIAN LEIGH DOUGLAS |
| Other Name | JILLIAN LEIGH ROGERS |
| Credential | D.O. |
| Practice Address |
206 Skylar Dr Lewisburg WV 24901-9383 |
| Practice Telephone | 6813183586 |
| Practice Fax Number | 6813183587 |
| Mailing Telephone | (304) 989-4040 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2423 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2423 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881069193 | Jillian A Douglas | Occupational Therapy Assistant | 10 E Shawnee Ln, Belton, TX 76513-6631 | 2015-12-11 |
| 1891335204 | Jillian J Douglas | Registered Nurse | 200 E 3rd St, Jamestown, NY 14701-5433 | 2020-01-14 |
| Street Address |
206 SKYLAR DR |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114003084 | Psychconsultmd | Psychiatry & Neurology | 206 Skylar Dr, Lewisburg, WV 24901 | 2006-10-31 |
| 1497103386 | Southern Wv Medical and Surgical Specialists Pllc | Otolaryngology | 206 Skylar Dr, Lewisburg, WV 24901-9383 | 2016-06-01 |
| 1255704946 | Doug Eitel Md, Pllc | Psychiatry & Neurology | 206 Skylar Dr, Lewisburg, WV 24901-9383 | 2015-11-04 |
| 1598882862 | Arnold Kaltreider Vaughn | Dietitian, Registered | 206 Skylar Dr, Lewisburg, WV 24901-9383 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1568432136 | Michael L Adler | Internal Medicine | 80 Medical Park Dr, Lewisburg, PA 17837-6343 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365549 | Novus Healthcare, Inc. | Internal Medicine | 307 Medical Ct, Martinsburg, WV 25401-2843 | 2015-05-13 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1831400761 | Gilbert Alexander Fleming | Internal Medicine | 550 East Ridge Street, Harpers Ferry, WV 25425-1260 | 2010-06-25 |
| 1548478993 | Emma Morton-eggleston | Internal Medicine | 880 N Tennessee Ave Ste 110a, Martinsburg, WV 25401-9401 | 2007-05-18 |
| 1043396229 | Philip J A Ryan | Internal Medicine | 176 Health Care Ln, Suite B, Martinsburg, WV 25401-4010 | 2006-10-31 |
| 1225132681 | Lee Ann Skaff | Internal Medicine | 4922 Maccorkle Ave Se, Charleston, WV 25304 | 2006-09-07 |
| 1639272594 | Irma Ullrich | Internal Medicine | 209 Poplar Drive, Morgantown, WV 26505 | 2006-09-06 |
| 1467560326 | Jeremy B Soule | Internal Medicine | 16 Sterling Dr, Suite 102, Bridgeport, WV 26330-9132 | 2006-08-29 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1962424903 | Raghda Tolaymat Sahloul | Internal Medicine | 4400 Maccorkle Avenue S.e., Charleston, WV 25304-1223 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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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.