DR. Jerry Edward Douglas MD

  • NPI 1285603621
According to our database, the NPI number for DR. Jerry Edward Douglas MD is 1285603621 and activated since 18 years ago. DR. Jerry Edward Douglas MD is an individual provider who specializes in Family Medicine, and the primary practice location is 15322 Lakeshore Dr, Clearlake, CA 95422. You can also contact DR. Jerry Edward Douglas MD via telephone number is (707) 994-0303. Provider NPI information was last updated on 04/02/2018.

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Overview of DR. Jerry Edward Douglas MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/17/2006
  • Last updated: 04/02/2018

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 53653
  • License State: CA

Provider Mailing Address

  • Address: 333 Laws Ave
    Ukiah, CA 95482
  • Phone: 707-472-3944
  • Fax: 707-468-0174

Provider Practice Location

  • Address: 15322 Lakeshore Dr
    Suite 202
    Clearlake, CA 95422
  • Phone: 707-994-0303
  • Fax: 707-995-9447

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 53653
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000000190581
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: ANTHEM PROVIDER NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jerry Edward Douglas MD?
  • A: The npi number for DR. Jerry Edward Douglas MD is 1285603621.
  • Q: What are DR. Jerry Edward Douglas MD's specialties?
  • A: DR. Jerry Edward Douglas MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Jerry Edward Douglas MD?
  • A: The medical license number for DR. Jerry Edward Douglas MD is 53653 and issued in CA in USA.
  • Q: Where is DR. Jerry Edward Douglas MD practice location?
  • A: DR. Jerry Edward Douglas MD is practicing at 15322 Lakeshore Dr, Clearlake, CA 95422.
  • Q: How to contact DR. Jerry Edward Douglas MD?
  • A: You can contact DR. Jerry Edward Douglas MD via 707-994-0303.