GARY DOUGLAS M.D. NPI 1922096668

NPI Information

NPI: 1922096668
Provider Name: GARY DOUGLAS, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
1026 UNION RD
WEST SENECA, NY
ZIP 14224
Phone: (716) 712-0858
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Gary Douglas, M.D. is a surgery in West Seneca, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Gary Douglas, M.D. NPI is 1922096668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1026 UNION RD
WEST SENECA, NY
ZIP 14224-449
Phone: (716) 712-0858
Fax: (716) 712-0859

The enumeration date for this NPI number is 10/6/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		198135	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1709798	OTHER	NEW YORK	IHA
2	01545188	MEDICAID	NEW YORK
3	040426002829	OTHER	NEW YORK	FIDELIS
4	148117FL	OTHER	NEW YORK	PREFERRED CARE
5	G01509	MEDICARE UPIN
6	000523560007	OTHER	NEW YORK	BC/BS
7	DD4136	MEDICARE ID-TYPE UNSPECIFIED
8	00010047904	OTHER	NEW YORK	UNIVERA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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