Douglas Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16446 Issued in CO

Legal business name

DOUGLAS MEDICAL PC

Practice address

410 S Wilcox St
Castle Rock, CO 80104-2662

Phone

(303) 688-6900

Fax

(303) 688-1417

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary K England

Title

Practice Administrator

Phone

(303) 688-6900

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• PLUM CREEK MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1144252602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042662",
            "telephone_number": "303-688-6900",
            "fax_number": "303-688-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042662",
            "telephone_number": "303-688-6900",
            "fax_number": "303-688-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-688-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "16446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "16446",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "16446",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "16446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007407",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLUM CREEK MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne N Doubrava, PSYD
• Jayne Dougherty
• Lauren Dougherty, MA CCC-SLP
• Douglas County School District Re1
• Douglas Family Medicine, P.C.
• Lauren Nicole Dow, DPT
• Denise Dowling, RN
• Kendall Downs
• Dr Lyn D Tran OD Inc
• Dr Tyler W Simpson DC

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.