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MR. DAVID W DOUGLAS MD NPI 1154340420


NPI Information

NPI: 1154340420
Provider Name: MR. DAVID W DOUGLAS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CONGENIAL HEALTHCARE LLC

PECOS Registration: Yes

Address:
330 LYNNWAY
SUITE 109A
LYNN, MA
ZIP 01901
Phone: (781) 593-6005
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MR. David W Douglas, MD is a family medicine in Lynn, MA with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. David W Douglas, MD NPI is 1154340420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1994

The provider's business location address is:

330 LYNNWAY
SUITE 109A
LYNN, MA
ZIP 01901-706
Phone: (781) 593-6005
Fax: (781) 593-1370

The NPI 1154340420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)

The enumeration date for this NPI number is 7/18/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine150082MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150082OTHERMASSACHUSETTSTUFTS HEALTH PLAN
22242081OTHERMASSACHUSETTSAETNA US HEALTHCARE
3G45500MEDICARE UPINMASSACHUSETTS
43166341MEDICAIDMASSACHUSETTS
5J18455OTHERMASSACHUSETTSBC/BS
6B10347002OTHERMASSACHUSETTSCIGNA
7710790OTHERMASSACHUSETTSHARVARD PILGRIM
8A22422MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
9186207OTHERMASSACHUSETTSHEALTHSOURCE
100101449OTHERMASSACHUSETTSUNITED HEALTHCARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.