Jillian L Douglas (NPI# 1851564256, PAC ID# 8224209523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1851564256 |
| PAC ID by PECOS | 8224209523 |
| Professional Enrollment ID | I20110919000006 |
| Full Name | Jillian L Douglas |
| Organization Legal Name | SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC |
| Address |
206 Skylar Dr Lewisburg WV 24901-9383 |
| Phone Number | 6813183540 |
| Gender | F |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 3173810769 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511322 | |
| 510002 | GREENBRIER VALLEY MEDICAL CENTER |
| 511310 | SUMMERS COUNTY ARH HOSPITAL |
| 490126 | LEWISGALE HOSPITAL ALLEGHANY |
| 511314 | POCAHONTAS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 206 Skylar Dr, Lewisburg, WV 24901-9383 | 6813183540 | SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 10% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 10% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 7% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 7% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 17% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 17% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 17% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 17% |
| Organization Legal Name | SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin W Douglas | Otolaryngology | Southern Wv Medical and Surgical Specialists Pllc | 206 Skylar Dr, Lewisburg, WV 24901-9383 |
| Arnold Kaltreider Vaughn | Registered Dietitian Or Nutrition Professional | Southern Wv Medical and Surgical Specialists Pllc | 206 Skylar Dr, Lewisburg, WV 24901-9383 |
| Street Address |
206 SKYLAR DR |
| City | LEWISBURG |
| State | WV |
| Zip | 24901-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin W Douglas | Otolaryngology | Southern Wv Medical and Surgical Specialists Pllc | 206 Skylar Dr, Lewisburg, WV 24901-9383 |
| Arnold Kaltreider Vaughn | Registered Dietitian Or Nutrition Professional | Southern Wv Medical and Surgical Specialists Pllc | 206 Skylar Dr, Lewisburg, WV 24901-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Bashlor | Nurse Practitioner | West Virginia School of Osteopathic Medicine Clinic Inc | Rr 2 Box, Lewisburg, WV 24901 |
| Tasso S Butler Jr. | Optometry | 413 Greenbrier Valley Mall Dr, Suite 2, Lewisburg, WV 24901-0237 | |
| Rhonda L Hamm | Psychiatry | 333 N Jefferson St, Lewisburg, WV 24901-1116 | |
| William Pugh Iii | Optometry | Family Vision Care Inc | 520 N Jefferson St, Lewisburg, WV 24901-1164 |
| Michael A Buchanan Ii | Optometry | Family Vision Care Inc | 520 N Jefferson St, Lewisburg, WV 24901-1164 |
| Jeremiah John Troyer | Optometry | 213 Gateway Blvd, Suite 4, Lewisburg, WV 24901-1174 | |
| Michael A Brumfield | Chiropractic | 203 S Jefferson St A, Lewisburg, WV 24901-1316 | |
| Hanno W Kirk | Clinical Social Worker | 128 W Washington St, Lewisburg, WV 24901-1353 | |
| Jessica Smith-kelly | Internal Medicine | West Virginia School of Osteopathic Medicine Clinic Inc | 1464 Jefferson St N, Lewisburg, WV 24901-1380 |
| David L Hyler Both | Family Medicine | West Virginia School of Osteopathic Medicine Clinic Inc | 1464 Jefferson St N, Lewisburg, WV 24901-1380 |
| Find all physicians in zip 24901 | |||
| City | LEWISBURG |
| Zip Code | 24901 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | LEWISBURG + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Jillian L Douglas.
| 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.