DR. BENJAMIN DOUGLAS M.D. NPI 1780621540

NPI Information

NPI: 1780621540
Provider Name: DR. BENJAMIN DOUGLAS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
38 THE VILLAGE OVERLOOK
SYLVA, NC
ZIP 28779
Phone: (828) 586-7474
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DR. Benjamin Douglas, M.D. is a specialist in Sylva, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Benjamin Douglas, M.D. NPI is 1780621540. 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:

38 THE VILLAGE OVERLOOK
SYLVA, NC
ZIP 28779-616
Phone: (828) 586-7474
Fax: (828) 586-7473

The NPI 1780621540 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 6/1/2006 and was last updated on 6/5/2019.

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	174400000X	Specialist		26813	NORTH CAROLINA	Yes

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
1	29104	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD NC
2	8929104	MEDICAID	NORTH CAROLINA
3	000391421B	MEDICAID	GEORGIA
4	040009857	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
5	000391421A	MEDICAID	GEORGIA

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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