Craig H Douglas, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17394 Issued in KY

Practice address

3810 Springhurst Blvd # 100
Meridian Building
Louisville, KY 40241-6100

Phone

(502) 897-9881

Fax

(502) 897-9824

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Louisville School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology Associates PSCGroup PAC ID 6103860218, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ophthalmology Associates, PSC

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1871568527

  Specialist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1003881459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD # 100",
            "address_2": "MERIDIAN BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416100",
            "telephone_number": "502-897-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD # 100",
            "address_2": "MERIDIAN BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416100",
            "telephone_number": "502-897-9881",
            "fax_number": "502-897-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CRAIG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "17394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17394",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6417394100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel H Dougherty, LCSW
• Shelby Madison Doughty
• Douglas Institute PLLC
• Nicole Douglas-Sarver, CSW
• Aleve Douglas, LPCC
• David Douglas, MD
• Derek Douglas, M.D
• Lonnie Rhea Douglas
• Robert Douglas, CSA CERTIFICATION
• Sarah Ann Douglas, PT, DPT

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.