Active NPI
Douglas J Howard, MD
- Emergency Medicine Physician
- Grants Pass, OR
National Provider Identifier
1124107669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD11277
- Practice address
- 500 S.W. Ramsey Avenue
Grants Pass, OR 97527 - Phone
- (541) 472-7000
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD11277 | OR | Primary |
Addresses
Primary practice location
500 S.W. Ramsey Avenue
Grants Pass, OR 97527
Mailing address
100 E Main St
Suite C
Medford, OR 97501-6041
Phone (541) 789-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085477 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11277 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| MD11277 | OR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124107669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"address_2": "SUITE C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975016041",
"telephone_number": "541-789-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S.W. RAMSEY AVENUE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-472-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD11277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085477",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- 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.