DR. ROBERT LEWIS DOUGLAS M.D. NPI 1003861501

NPI Information

  • NPI: 1003861501
  • Provider Name: DR. ROBERT LEWIS DOUGLAS, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 210 E MAIN ST
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (845) 342-5681

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NPI Details

DR. Robert Lewis Douglas, M.D. is a cardiovascular disease internal medicine in Middletown, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Robert Lewis Douglas, M.D. NPI is 1003861501. 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:

210 E MAIN ST
MIDDLETOWN, NY
ZIP 10940-038
Phone: (845) 342-5681
Fax: (845) 342-0470

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/24/2008.

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
1207RC0000XInternal MedicineCardiovascular Disease109172 1NEW YORKYes

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
1B95550MEDICARE UPINNEW YORK
20257841MEDICAIDNEW YORK
3110043387OTHERNEW YORKRAILROAD MEDICARE
4898711MEDICARE PINNEW YORK

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: 3/30/2025

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