Douglas Fall
MD | Pediatrics | Male
Douglas Fall, MD is a Medina, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Douglas Fall is
4001 Carrick Dr Ste 160, Medina, Ohio - 44256-5392. He can be contacted on phone at
330-723-7005 and fax number 330-723-4854.
Douglas Fall is a sole proprietor of his business.
NPI number (Unique professional ID) for Douglas Fall is
1205883899 which was assigned by NPPES on 28 May, 2006 and it was last updated on 26 Jul, 2011.
Douglas Fall license number is
35-073387 for Pediatrics (208000000X) in Ohio.
Douglas Fall 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:
Douglas Fall basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Douglas Fall |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Douglas Fall 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 : | 4001 Carrick Dr Ste 160
Medina, OH, 44256-5392
United States |
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| Phone Number : | 330-723-7005 |
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| Fax Number : | 330-723-4854 |
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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 : | 1205883899 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 May, 2006 |
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| Last Updated On : | 26 Jul, 2011 |
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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 Douglas Fall are as mentioned. Primary taxonomy code for Douglas Fall, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 35073387F | OH |
| 208000000X | Pediatrics | Yes | 35-073387 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Douglas Fall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2315248 | MEDICAID | OH | |
| 942460636083 | Other | OH | CARESOURCE |
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 : | 24701 Euclid Ave
Euclid, OH, 44117-1714
United States |
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| Phone Number : | 330-723-7005 |
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| Fax Number : | 330-723-4854 |
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Business Location:
Patients can refer following map for directions to
Douglas Fall 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.