David Byron Douglas (NPI# 1063673556, PAC ID# 2567779499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063673556 |
| PAC ID by PECOS | 2567779499 |
| Professional Enrollment ID | I20161222001283 |
| Full Name | David Byron Douglas |
| Organization Legal Name | STANFORD HEALTH CARE |
| Address |
5800 Hollis St Emeryville CA 94608-2016 |
| Phone Number | 5108062100 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6709797491 |
| Number of Group Practice Members | 1814 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 5800 Hollis St, Emeryville, CA 94608-2016 | 5108062100 | STANFORD HEALTH CARE |
| 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 9258473000 | STANFORD HEALTH CARE |
| 420 Broadway St, Redwood City, CA 94063-3132 | 6507238561 | STANFORD HEALTH CARE |
| 450 Broadway St, Redwood City, CA 94063-3132 | 6507238561 | STANFORD HEALTH CARE |
| 300 Pasteur Dr, Stanford, CA 94305-2200 | 6507234000 | STANFORD HEALTH CARE |
| Organization Legal Name | STANFORD HEALTH CARE |
| Physicians | 2077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Charles Picel | Diagnostic Radiology | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Marci L Gottlieb | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Nancy Sinda Brook | Nurse Practitioner | Stanford Health Care | 420 Broadway St, Redwood City, CA 94063-3132 |
| Matthew A Wright | Psychiatry | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Angie Dee Murkins | Nurse Practitioner | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Jamshid Ghajar | Neurosurgery | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Ian Joseph Nelligan | Family Medicine | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Yu Kuang Lai | Internal Medicine | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Brock Aaron Martin | Pathology | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Meghan Brady Marmor | Pulmonary Disease | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Street Address |
5800 HOLLIS ST |
| City | EMERYVILLE |
| State | CA |
| Zip | 94608-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marci L Gottlieb | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Dean J Nickles | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Hui Hui Li | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Katy C Young Lee | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Najuma Zakiya Shurn | Psychologist, Clinical | 1316 67th St, Emeryville, CA 94608-1121 | |
| Marcus A Pedroza | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Robert L Baker | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Robert L Lin | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Oliver Jacob Mok | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Sonam M Patel | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Tyler R Williams | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Colin Mcdannel | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Kenneth K Chen | Internal Medicine | Permanente Medical Group Inc | 2000 Powell St, Suite 140, Emeryville, CA 94608-1781 |
| Sijie Zheng | Internal Medicine | Permanente Medical Group Inc | 2000 Powell St, Suite 140, Emeryville, CA 94608-1781 |
| Find all physicians in zip 94608 | |||
| City | EMERYVILLE |
| Zip Code | 94608 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EMERYVILLE + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.