Douglas H Louie MD PHD PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00024972 Issued in WA

Legal business name

DOUGLAS H LOUIE MD PHD PS

Practice address

12157 Pacific Ave S
Tacoma, WA 98444-5124

Phone

(253) 537-1562

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas H Louie, MDNPI 1821190018

Title

Physician/President

Phone

(253) 537-1562

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Douglas H Louie, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1821190018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093044513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-537-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-537-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS H LOUIE MD PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LOUIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "253-537-1562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00024972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111756",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E98233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Emmett Dougherty, PT
• Christine Dougherty
• Donald Joseph Dougherty Jr.
• Roger Dougherty, PT
• Leana Marie Doughty
• Douglas L Raber, Crna, PS
• Douglas M. Hassan M D P S
• Christine Tat Douglas, MD
• Dean Kirk Douglas, PA-C
• Megan Douglas, LMP

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.