MS. MELANIE DOUGLAS PA-C NPI 1376896142

NPI Information

NPI: 1376896142
Provider Name: MS. MELANIE DOUGLAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
355 BARD AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-1234
Get Directions

MS. Melanie Douglas, PA-C is a surgical physician assistant in Staten Island, NY with 12 years of experience. MS. Melanie Douglas, PA-C NPI is 1376896142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

355 BARD AVE
STATEN ISLAND, NY
ZIP 10310-664
Phone: (718) 818-1234
Fax: (718) 818-1252

The NPI 1376896142 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 enumeration date for this NPI number is 10/18/2012 and was last updated on 10/18/2012.

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	363AS0400X	Physician Assistant	Surgical	015826-1	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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