Robert James Douglas, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME13225 Issued in FL

Practice address

13865 Locust LN
Nampa, ID 83686-9367

Phone

(208) 989-4991

NPI assigned

Jul 8, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Quest Imaging Medical Associates, Inc.

  • Radiology Clinic/Center
  • Bakersfield, CA
  • NPI 1942236443
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053574137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 INAGUA AVE",
            "address_2": "N/A",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331333812",
            "telephone_number": "208-989-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13865 LOCUST LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869367",
            "telephone_number": "208-989-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME13225",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME13225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Donahue
• Donaldson Chiropractic, Inc.
• Martin Sterling Donaldson, D.C.
• Dondell Inc. (Rosendahl Foot and Shoe Center)
• Emma Aine Donohoe, PA
• Samantha Jo Downing, CRM
• Melissa Dian Downs, RN
• Amanda Dozier, FNP-C
• Dr. Paula M. Nordstrom, LLC
• Amanda Draper

• Diagnostic Radiology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.