DAVID DOUGLASS MD NPI 1639145741

NPI Information

  • NPI: 1639145741
  • Provider Name: DAVID DOUGLASS, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CHILDRENS WAY # 512-10
    LITTLE ROCK, AR
    ZIP 72202
  • Phone: (501) 364-1494

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NPI Details

David Douglass, MD is a pediatrics in Little Rock, AR with 29 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. David Douglass, MD NPI is 1639145741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

1 CHILDRENS WAY # 512-10
LITTLE ROCK, AR
ZIP 72202-500
Phone: (501) 364-1494
Fax: (501) 364-3634

The NPI 1639145741 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 2/28/2006 and was last updated on 3/28/2023.

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
1208000000XPediatrics9900477NORTH CAROLINANo
22080P0207XPediatricsPediatric Hematology-OncologyE-12032ARKANSASNo
3208000000XPediatricsE-12032ARKANSASYes

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
1895159OTHERNORTH CAROLINAMAMSI
2562034548OTHERNORTH CAROLINAGROUP TAX ID
331605OTHERNORTH CAROLINAPARTNERS MEDICARE CHOICE
41216XOTHERNORTH CAROLINABCBS
57428011OTHERNORTH CAROLINAAETNA
688655OTHERNORTH CAROLINAMEDCOST
723702OTHERNORTH CAROLINAWELLPATH
8891216XMEDICAIDNORTH CAROLINA

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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