David Douglass
MD | Pediatrics | Male
David Douglass, MD is a Little Rock, Arkansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of David Douglass is
1 Childrens Way # 653, Little Rock, Arkansas - 72202-3500. He can be contacted on phone at
501-364-1100 and fax number 501-364-4082.
David Douglass is a sole proprietor of his business.
NPI number (Unique professional ID) for David Douglass is
1639145741 which was assigned by NPPES on 28 Feb, 2006 and it was last updated on 28 Mar, 2023.
David Douglass license number is
E-12032 for Pediatrics (208000000X) in Arkansas.
David Douglass is a pediatrician who 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.
Complete Profile:
David Douglass basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | David Douglass |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
David Douglass address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Way # 653
Little Rock, AR, 72202-3500
United States |
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| Phone Number : | 501-364-1100 |
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| Fax Number : | 501-364-4082 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639145741 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Feb, 2006 |
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| Last Updated On : | 28 Mar, 2023 |
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Medicare Participation:
David Douglass participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6709179567 |
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| Medicare Enrollment ID : | I20190627000598 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Vanderbilt University School Of Medicine |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. David Douglass accepts medicare insurance. |
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Group Practice Association:
David Douglass is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which David Douglass is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| University Of Arkansas | 4082528955 | 1115 | 1 Children's Way
Little Rock, AR - 722023500 | Yes |
| University Of Arkansas | 4082528955 | 1115 | 1 Childrens Way
Suite 854
Little Rock, AR - 722023500
Ph: 5013641100 | Yes |
| University Of Arkansas | 4082528955 | 1115 | 1 Childrens Way
Suite 653
Little Rock, AR - 722023571
Ph: 5013641100 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Douglass are as mentioned. Primary taxonomy code for David Douglass, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 9900477 | NC |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | E-12032 | AR |
| 208000000X | Pediatrics | Yes | E-12032 | AR |
Legacy Identifiers:
Other legacy medical identifiers of David Douglass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1216X | Other (non-Medicare) | NC | BCBS |
| 23702 | Other (non-Medicare) | NC | WELLPATH |
| 31605 | Other (non-Medicare) | NC | PARTNERS MEDICARE CHOICE |
| 562034548 | Other (non-Medicare) | NC | GROUP TAX ID |
| 7428011 | Other (non-Medicare) | NC | AETNA |
| 88655 | Other (non-Medicare) | NC | MEDCOST |
| 891216X | MEDICAID | NC | |
| 895159 | Other (non-Medicare) | NC | MAMSI |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
66 LAKE CONCORD RD NE, CABARRUS PEDIATRIC CLINIC
CONCORD, NC, 28025-3057
United States | CONCORD, NC | 704-786-1144 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Way # 512-10
Little Rock, AR, 72202-3500
United States |
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| Phone Number : | 501-364-1494 |
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| Fax Number : | 501-364-3634 |
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Business Location:
Patients can refer following map for directions to
David Douglass practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.