Douglas Dussel Pritchard MD PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

10845 Issued in NC

Legal business name

DOUGLAS DUSSEL PRITCHARD MD PLLC

Practice address

610 Signal Hill Drive Ext
Suite 100
Statesville, NC 28625-4337

Phone

(704) 818-0480

Fax

(704) 818-0490

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Dussel Pritchard, M.D.

Title

Owner

Phone

(704) 818-0840

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah O'Neil Speaks, FNP

  • Family Nurse Practitioner
  • Mooresville, NC
  • NPI 1003838632
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1063556728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SIGNAL HILL DRIVE EXT",
            "address_2": "SUITE 100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254337",
            "telephone_number": "704-818-0480",
            "fax_number": "704-818-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SIGNAL HILL DRIVE EXT",
            "address_2": "SUITE 100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254337",
            "telephone_number": "704-818-0480",
            "fax_number": "704-818-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS DUSSEL PRITCHARD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-818-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "18045",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NC",
            "license": "10845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132YC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7870927",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "196255",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "209727A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG1403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna R Wike, O.D., P.a
• Wendy Doric, FNP-BC
• Deleah Sularon Dorsey, LCSWA
• William A Dotson, HIS, COHC
• Mary L. Doub, L.P.C.A.
• Jessica J. Doutaz, MS, AGNP
• Dove House Children'S Advocacy Center
• Amanda L Downs
• Dr Allen J Romeo & Associates PLLC
• Dr. Jon C. Packman PLLC

• Pain Clinic/Center in Statesville, NC
• Providers in Statesville, NC by specialty
• Pain Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.