Douglas J Hepburn, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2002023837 Issued in MO

Practice address

333 S Kirkwood Rd
Suite 201
Kirkwood, MO 63122-6161

Phone

(314) 909-0517

Fax

(314) 909-0518

NPI assigned

May 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073722872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 TOWNHOUSE LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423418",
            "telephone_number": "314-920-1255",
            "fax_number": "314-909-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD",
            "address_2": "SUITE 201",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226161",
            "telephone_number": "314-909-0517",
            "fax_number": "314-909-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPBURN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2002023837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Heller, LPC
• Dionne Henderson
• Patricia Hennessey
• Cammie Henry, R.N.
• Kimberly L Henze, PT
• Lesley Hermann-Donahue, RN
• Franki Herrington, PHARMD
• Heather Hewitt, LCSW
• Anne Hiers, PT
• John R. Hirst, M.ED

• Athletic Trainer in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.