DR. DOUGLAS C ROOT MD NPI 1770580987

NPI Information

  • NPI: 1770580987
  • Provider Name: DR. DOUGLAS C ROOT, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 LEW DEWITT BLVD
    WAYNESBORO, VA
    ZIP 22980
  • Phone: (540) 332-5162

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NPI Details

DR. Douglas C Root, MD is a family medicine in Waynesboro, VA. 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. DR. Douglas C Root, MD NPI is 1770580987. 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:

201 LEW DEWITT BLVD
WAYNESBORO, VA
ZIP 22980
Phone: (540) 332-5162
Fax: (540) 332-5875

The NPI 1770580987 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 7/1/2005 and was last updated on 5/3/2016.

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
1207Q00000XFamily MedicineD0040014MARYLANDNo
2207Q00000XFamily MedicineMD044326EPENNSYLVANIANo
3207Q00000XFamily Medicine0101256332VIRGINIAYes

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
1100728880MEDICAIDPENNSYLVANIA
2S865M574MEDICARE ID-TYPE UNSPECIFIEDMARYLANDCMS PROVIDER ID
3E55625MEDICARE UPIN
4482501200MEDICAIDMARYLAND
5211828MEDICARE ID-TYPE UNSPECIFIEDMARYLANDFQHC
63810006043MEDICAIDWEST VIRGINIA

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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