Richard Allen Douglas in Bridgeport - Neurological Surgery
Richard Allen Douglas - NPI 1710961669
Richard Allen Douglas is a Neurological Surgery in Bridgeport, . Richard Allen Douglas practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Richard Allen Douglas is 1710961669. The last update date is 2022-04-05.
Richard Allen Douglas's current location address is 527 Medical Park Drive, Bridgeport, . You can contact this provider via phone number 6813423500 and fax number 6813423561. The mailing address for Richard Allen Douglas is 527 Medical Park Drive, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allen Douglas |
|---|---|
| Address | 527 Medical Park Drive, Bridgeport, |
| Phone Number | 6813423500 |
| Fax Number | 6813423561 |
| Sole Proprietor | N |
| Credentials | M.D.,F.A.C |
NPI Number Detail
| NPI Number | 1710961669 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 527 Medical Park Drive |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 26330 |
| Phone Number | 6813423500 |
| Fax Number | 6813423561 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 20050 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1709481 | WV | BC/BS | |
| 88893000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Allen Douglas by the Centers for Medicare & Medicaid Services?
The Richard Allen Douglas has been issued the NPI (National Provider Identifier) 1710961669, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Richard Allen Douglas's facilities are situated?
The facilities of Richard Allen Douglas are physically located at the following address: 527 Medical Park Drive, Bridgeport, WV, 26330.
What is Richard Allen Douglas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Allen Douglas's area of specialization is Neurological Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207T00000X.
On what date was the 1710961669 assigned to Richard Allen Douglas?
The Richard Allen Douglas was issued its 1710961669 on 2005-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard Allen Douglas most recently updated or revised?
The information pertaining to Richard Allen Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-05.