MR. DOUGLAS A. NORTH PA-C NPI 1720071186

NPI Information

  • NPI: 1720071186
  • Provider Name: MR. DOUGLAS A. NORTH, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 15136 ST. RD. 75
    PENASCO, NM
    ZIP 87553
  • Phone: (575) 587-2205

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NPI Details

MR. Douglas A. North, PA-C is a medical physician assistant in Penasco, NM. MR. Douglas A. North, PA-C NPI is 1720071186. 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:

15136 ST. RD. 75
PENASCO, NM
ZIP 87553-238
Phone: (575) 587-2205
Fax: (575) 587-1944

The enumeration date for this NPI number is 8/31/2005 and was last updated on 7/15/2013.

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
1363AM0700XPhysician AssistantMedical2001-PA27NEW MEXICOYes

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
1NM400307OTHERNEW MEXICOMEDICARE PTAN
281958757MEDICAIDNEW MEXICO

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: 11/21/2025

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